Provider Demographics
NPI:1417277443
Name:SPEES CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:SPEES CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SPEES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-300-9790
Mailing Address - Street 1:510 E SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885-2342
Mailing Address - Country:US
Mailing Address - Phone:419-300-9790
Mailing Address - Fax:419-300-9789
Practice Address - Street 1:510 E SPRING ST
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-2342
Practice Address - Country:US
Practice Address - Phone:419-300-9790
Practice Address - Fax:419-300-9789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1889600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2561400Medicaid
OH2561400Medicaid