Provider Demographics
NPI:1427597319
Name:FUNCTIONAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:FUNCTIONAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-638-2204
Mailing Address - Street 1:PO BOX 54457
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45254-0457
Mailing Address - Country:US
Mailing Address - Phone:513-638-2204
Mailing Address - Fax:513-299-0524
Practice Address - Street 1:3433 AGLER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3387
Practice Address - Country:US
Practice Address - Phone:513-638-2204
Practice Address - Fax:513-299-0524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1290111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty