MEDICARE: NORTHEAST CHIROPRACTIC CLINIC 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
1	111N00000X	Chiropractor	2091	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750468161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHEAST CHIROPRACTIC CLINIC INC.

Provider Business Mailing Address
First Line	:	3172 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3604
Country	:	US
Telephone Number	:	614-447-2030
Fax Number	:

Provider Business Practice Location Address
First Line	:	3172 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3604
Country	:	US
Telephone Number	:	614-447-2030
Fax Number	:

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. OBI C CHINAKWE
Credential	:	DC, DAAPM, FABDA
Telephone Number	:	614-447-2030

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/14/2010

Similar Medicare Providers

1033423470 — DR. OBIJULU U CHINAKWE DC
Practice Location Address:

3172 CLEVELAND AVE
COLUMBUS, OH
43224-3604

Practice Phone: 614-447-2030
Practice Fax: 614-447-2019

1417935297 — KARL ROAD DRUGGIST LLC
Practice Location Address:

5770 KARL RD
COLUMBUS, OH
43229-3604

Practice Phone: 614-847-3784
Practice Fax: 614-847-6171

1598730285 — EDWIN L PAGE M.D.
Practice Location Address:

1900 10TH AVE STE 211
COLUMBUS, GA
31901-3604

Practice Phone: 706-324-6661
Practice Fax: 706-494-3008

1467421388 — RENAL TREATMENT CENTERS MID ATLANTIC INC
Practice Location Address:

6228 BRADLEY PARK DR , STE B
COLUMBUS, GA
31904-3604

Practice Phone: 706-596-8222
Practice Fax: 706-596-8381

1285646489 — MARIA R MASCIO RPH
Practice Location Address:

5770 KARL RD
COLUMBUS, OH
43229-3604

Practice Phone: 614-847-3784
Practice Fax: 614-847-6171

1548365687 — MRS. LESLIE SHADE RPH
Practice Location Address:

5770 KARL RD
COLUMBUS, OH
43229-3604

Practice Phone: 614-847-3784
Practice Fax:

Directions to “NORTHEAST CHIROPRACTIC CLINIC INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.