Provider Demographics
NPI:1295037539
Name:NAGEL CHIROPRACTIC INC
Entity Type:Organization
Organization Name:NAGEL CHIROPRACTIC INC
Other - Org Name:NAGEL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JUSTIN
Authorized Official - Last Name:NAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-389-3430
Mailing Address - Street 1:6631 COMMERCE PKWY STE H
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3239
Mailing Address - Country:US
Mailing Address - Phone:614-389-3430
Mailing Address - Fax:614-389-3716
Practice Address - Street 1:6631 COMMERCE PKWY STE H
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3239
Practice Address - Country:US
Practice Address - Phone:614-389-3430
Practice Address - Fax:614-389-3716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3973111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty