Provider Demographics
NPI:1326258930
Name:CARTWRIGHT, ROB JAY (DC, CCSP)
Entity Type:Individual
Prefix:DR
First Name:ROB
Middle Name:JAY
Last Name:CARTWRIGHT
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2766 MACK RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-5129
Mailing Address - Country:US
Mailing Address - Phone:513-642-2500
Mailing Address - Fax:513-942-7999
Practice Address - Street 1:2766 MACK RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5129
Practice Address - Country:US
Practice Address - Phone:513-642-2500
Practice Address - Fax:513-942-7999
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1770111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation