LIVING WELL SPINE CENTER LLC NPI 1225240088

NPI Information

NPI: 1225240088
Provider Name: LIVING WELL SPINE CENTER, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1145 CHANNINGWAY DR.
FAIRBORN, OH
ZIP 45324
Phone: (937) 878-1071
Get Directions

LIVING WELL SPINE CENTER, LLC is a chiropractor in Fairborn, 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. LIVING WELL SPINE CENTER, LLC NPI is 1225240088. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1145 CHANNINGWAY DR.
FAIRBORN, OH
ZIP 45324
Phone: (937) 878-1071
Fax: (937) 878-2616

The provider's authorized official is James Mccoskey .
The authorized official title is Chiropractor and has the following contact phone number (937) 878-1071.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/27/2007.

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		1581	OHIO	No
2	111N00000X	Chiropractor		3455	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	0666832	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	000000210783	OTHER	OHIO	ANTHEM
3	4118421	MEDICARE ID-TYPE UNSPECIFIED	OHIO
4	000000354540	OTHER	OHIO	ANTHEM

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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