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NPI Code Detail

MEDICARE: DR. RANDALL J FICK D.C. D.A.B.C.O.

MEDICARE: DR. RANDALL J FICK D.C. D.A.B.C.O.
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
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487680575
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDALL J FICK D.C. D.A.B.C.O.
Provider Business Mailing Address
First Line : 415 GLENSPRINGS DR.
Second Line : STE. 305
City : CINCINNATI
State : OH
Zip : 45246-2354
Country : US
Telephone Number : 513-348-4700
Fax Number : 513-851-8786
Provider Business Practice Location Address
First Line : 415 GLENSPRINGS DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45246-2354
Country : US
Telephone Number : 513-851-8686
Fax Number : 513-851-8786
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 10/19/2012

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