BEVINS & SCHORK CHIROPRACTIC CLINIC LTD NPI 1710104005

NPI Information

NPI: 1710104005
Provider Name: BEVINS & SCHORK CHIROPRACTIC CLINIC LTD
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
505 W EMMITT AVE
SUITE 2
WAVERLY, OH
ZIP 45690
Phone: (740) 941-4311
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BEVINS & SCHORK CHIROPRACTIC CLINIC LTD is a chiropractor in Waverly, OH. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BEVINS & SCHORK CHIROPRACTIC CLINIC LTD NPI is 1710104005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 W EMMITT AVE
SUITE 2
WAVERLY, OH
ZIP 45690-083
Phone: (740) 941-4311
Fax: (740) 947-9884

The provider's authorized official is Gail Young .
The authorized official title is Billing Specialist and has the following contact phone number (740) 941-4311.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		1892 & 2609	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9316831	MEDICARE ID-TYPE UNSPECIFIED	OHIO	GROUP NUMBER
2	2256928	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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