Provider Demographics
NPI:1528032653
Name:SAXTON, BRIAN J (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:SAXTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 WEST CANAL STREET
Mailing Address - Street 2:PO BOX 295
Mailing Address - City:OTTOVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45876-0295
Mailing Address - Country:US
Mailing Address - Phone:419-453-2279
Mailing Address - Fax:419-453-2280
Practice Address - Street 1:271 W. CANAL STREET
Practice Address - Street 2:
Practice Address - City:OTTOVILLE
Practice Address - State:OH
Practice Address - Zip Code:45876
Practice Address - Country:US
Practice Address - Phone:419-453-2279
Practice Address - Fax:419-453-2280
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2562111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000130583OtherANTHEM PIN #
OH2045218Medicaid
OH341337481-00OtherGENERIC INS PIN #
OHU68625Medicare UPIN
OH2045218Medicaid