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NPI Code Detail

MEDICARE: FARABAUGH CHIROPRACTIC OFFICE

MEDICARE: FARABAUGH CHIROPRACTIC OFFICE
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
1261QM2500XMedical Specialty Clinic/CenterOHIO939OH

General Provider Information

NPI Number : 1760874473
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARABAUGH CHIROPRACTIC OFFICE
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 : CHIROPRACTIC ASST
Name : DENISE D MCLELLAN
Credential :
Telephone Number : 614-898-0787
Provider Enumeration Date : 03/04/2015
Last Update Date : 03/04/2015

Similar Medicare Providers

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1891758561 — DR. RONALD JOHN FARABAUGH D.C.
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1790906030 — CHIROPRACTICARE, INC.
Practice Location Address:
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COLUMBUS, OH
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1700210960 — MR. DAVID PAUL VANSCOY LMT
Practice Location Address:
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43231-4063
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Practice Fax: 614-898-1945

Directions to “FARABAUGH CHIROPRACTIC OFFICE ” Practice Location

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