Provider Demographics
NPI:1093002560
Name:OHL, RYAN DAVID (DC)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:DAVID
Last Name:OHL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 FARM BANK WAY
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-1974
Mailing Address - Country:US
Mailing Address - Phone:614-539-9495
Mailing Address - Fax:614-539-0554
Practice Address - Street 1:3435 FARM BANK WAY
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-1974
Practice Address - Country:US
Practice Address - Phone:614-539-0405
Practice Address - Fax:614-539-0554
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC.4153111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor