Provider Demographics
NPI:1003939380
Name:D-C CHIROPRACTIC HEALTH CENTER INC
Entity Type:Organization
Organization Name:D-C CHIROPRACTIC HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:SCHRODER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-674-6344
Mailing Address - Street 1:300 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-3426
Mailing Address - Country:US
Mailing Address - Phone:740-454-1747
Mailing Address - Fax:740-454-6742
Practice Address - Street 1:300 MAIN ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-3426
Practice Address - Country:US
Practice Address - Phone:740-454-1747
Practice Address - Fax:740-454-6742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0575346Medicaid
OH0575346Medicaid