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NPI Code Detail

MEDICARE: RONALD J. FARABAUGH DC, INC.

MEDICARE: RONALD J. FARABAUGH DC, 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
1111N00000XChiropractor3799OH
2111N00000XChiropractor1746OH
3111N00000XChiropractor939OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6RO9300211OTHEROHMEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
128676858700OTHEROHBWC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31746OTHEROHLICENSE
429774467900OTHEROHBWC
5939OTHEROHLICENSE
73799OTHEROHLICENSE
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
917750858200OTHEROHBWC
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184616641
Entity Type Code : Organization
Provider Name (Legal Business Name) : RONALD J. FARABAUGH DC, INC.
Provider Business Mailing Address
First Line : 2879 E DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4063
Country : US
Telephone Number : 614-898-0787
Fax Number : 614-898-1945
Provider Business Practice Location Address
First Line : 2879 E DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4063
Country : US
Telephone Number : 614-898-0787
Fax Number : 614-898-1945
Authorized Official
Title or Position : OWNER
Name : DR. RONALD J. FARABAUGH
Credential : DC
Telephone Number : 614-898-0787
Provider Enumeration Date : 08/19/2005
Last Update Date : 07/19/2011

Similar Medicare Providers

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Practice Location Address:
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1790906030 — CHIROPRACTICARE, INC.
Practice Location Address:
2879 E DUBLIN GRANVILLE RD
COLUMBUS, OH
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Practice Fax:
1700210960 — MR. DAVID PAUL VANSCOY LMT
Practice Location Address:
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COLUMBUS, OH
43231-4063
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1760874473 — FARABAUGH CHIROPRACTIC OFFICE
Practice Location Address:
2879 E DUBLIN GRANVILLE RD
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43231-4063
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Practice Fax: 614-898-1945

Directions to “RONALD J. FARABAUGH DC, INC. ” Practice Location

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