Provider Demographics
NPI:1114043544
Name:FIRST CHOICE HEALTH GROUP, INC.
Entity Type:Organization
Organization Name:FIRST CHOICE HEALTH GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:N
Authorized Official - Last Name:HARING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-756-3000
Mailing Address - Street 1:1636 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-2900
Mailing Address - Country:US
Mailing Address - Phone:419-756-3000
Mailing Address - Fax:419-756-7747
Practice Address - Street 1:1636 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-2900
Practice Address - Country:US
Practice Address - Phone:419-756-3000
Practice Address - Fax:419-756-7747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1260111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHFI9337911Medicare ID - Type Unspecified