Provider Demographics
NPI:1497006860
Name:DAMRON CHIROPRACTIC & WELLNESS
Entity Type:Organization
Organization Name:DAMRON CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:DAMRON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-770-3434
Mailing Address - Street 1:3187 WESTERN ROW RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-8045
Mailing Address - Country:US
Mailing Address - Phone:513-770-3434
Mailing Address - Fax:513-229-5432
Practice Address - Street 1:3187 WESTERN ROW RD
Practice Address - Street 2:SUITE 114
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-8045
Practice Address - Country:US
Practice Address - Phone:513-770-3434
Practice Address - Fax:513-229-5432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3993111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty