MEDICARE: HEALTHQUEST OF BLANCHESTER 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

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	:	1831292143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHQUEST OF BLANCHESTER INC

Provider Business Mailing Address
First Line	:	8390 E KEMPER RD STE A
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-1600
Country	:	US
Telephone Number	:	513-774-9800
Fax Number	:	888-315-2865

Provider Business Practice Location Address
First Line	:	8057 WASHINGTON VILLAGE DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1847
Country	:	US
Telephone Number	:	377-833-7719
Fax Number	:	888-315-2865

Authorized Official
Title or Position	:	CEO
Name	:	DR. ROBERT PREWITT
Credential	:	DC
Telephone Number	:	937-783-3771

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	03/22/2022

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Directions to “HEALTHQUEST OF BLANCHESTER INC ” Practice Location

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