Provider Demographics
NPI:1114977584
Name:WINCHESTER, DANA (DC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:WINCHESTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 PERIMETER DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3238
Mailing Address - Country:US
Mailing Address - Phone:614-760-5555
Mailing Address - Fax:
Practice Address - Street 1:5775 PERIMETER DR
Practice Address - Street 2:SUITE 160
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3238
Practice Address - Country:US
Practice Address - Phone:614-760-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TJ-341847286OtherEV BENEFITS
670508OtherUNITED HEALTHCARE
TJ-050629715OtherHEALTH REACH PREFER
000000383129OtherANTHEM
050629715OtherGATES MCDONALD
670508OtherGOLDEN RULE
TJ-050629715OtherFIRST HEALTH
1057109OtherCIGNA
05062971500OtherCOMP MGMT
7172613OtherAETNA
TJ-050629715OtherHEALTH REACH PREFER
670508OtherUNITED HEALTHCARE
05062971500OtherCOMP MGMT
TJ-050629715OtherFIRST HEALTH
TJ-050629715OtherFIRST HEALTH