Provider Demographics
NPI:1154510469
Name:ASHLAND CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:ASHLAND CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BACHELDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-289-8592
Mailing Address - Street 1:1182 TOWNSHIP ROAD 1175
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-1977
Mailing Address - Country:US
Mailing Address - Phone:419-289-8592
Mailing Address - Fax:419-289-5583
Practice Address - Street 1:1182 TOWNSHIP ROAD 1175
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-1977
Practice Address - Country:US
Practice Address - Phone:419-289-8592
Practice Address - Fax:419-289-5583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2283111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAS9352611Medicare UPIN