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NPI Code Detail

MEDICARE: RJF CHIROPRACTIC CENTER, INC.

MEDICARE: RJF CHIROPRACTIC CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1182OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19304821OTHEROHPTAN

General Provider Information

NPI Number : 1134201973
Entity Type Code : Organization
Provider Name (Legal Business Name) : RJF CHIROPRACTIC CENTER, INC.
Provider Business Mailing Address
First Line : 415 GLENSPRINGS DR
Second Line : SUITE 305
City : CINCINNATI
State : OH
Zip : 45246-2317
Country : US
Telephone Number : 513-851-8686
Fax Number : 513-851-8786
Provider Business Practice Location Address
First Line : 415 GLENSPRINGS DR
Second Line : SUITE 305
City : CINCINNATI
State : OH
Zip : 45246-2317
Country : US
Telephone Number : 513-851-8686
Fax Number : 513-851-8786
Authorized Official
Title or Position : OWNER
Name : RANDALL JON FICK
Credential : DC., DABCO
Telephone Number : 513-851-8686
Provider Enumeration Date : 10/20/2006
Last Update Date : 03/20/2012

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