Provider Demographics
NPI:1093098832
Name:COLUMBUS CHIROPRACTIC AND REHABILITATION CENTER, INC.
Entity Type:Organization
Organization Name:COLUMBUS CHIROPRACTIC AND REHABILITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ULM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-389-4473
Mailing Address - Street 1:6077 FRANTZ RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3325
Mailing Address - Country:US
Mailing Address - Phone:614-389-4473
Mailing Address - Fax:614-389-4719
Practice Address - Street 1:6077 FRANTZ RD
Practice Address - Street 2:SUITE 103
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3325
Practice Address - Country:US
Practice Address - Phone:614-389-4473
Practice Address - Fax:614-389-4719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty