Provider Demographics
NPI:1033276092
Name:ALBAIN CHIROPRACTIC CENTER, INC
Entity Type:Organization
Organization Name:ALBAIN CHIROPRACTIC CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALBAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-655-8600
Mailing Address - Street 1:PO BOX 498746
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-8746
Mailing Address - Country:US
Mailing Address - Phone:937-655-8600
Mailing Address - Fax:937-655-8899
Practice Address - Street 1:120 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-8756
Practice Address - Country:US
Practice Address - Phone:937-655-8600
Practice Address - Fax:937-655-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T48340Medicare UPIN
OH9343641Medicare ID - Type Unspecified