Provider Demographics
NPI:1477051647
Name:INNER HEALTH CHIROPRACTIC NORTH, LLC
Entity Type:Organization
Organization Name:INNER HEALTH CHIROPRACTIC NORTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-444-5661
Mailing Address - Street 1:1201 SOUTH HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206
Mailing Address - Country:US
Mailing Address - Phone:614-444-5661
Mailing Address - Fax:614-444-5662
Practice Address - Street 1:INNER HEALTH CHIROPRACTIC
Practice Address - Street 2:3321 EAST BROAD STREET
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213
Practice Address - Country:US
Practice Address - Phone:614-231-7220
Practice Address - Fax:614-231-7270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2044111N00000X
OH4495111N00000X
OH4718111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty