Provider Demographics
NPI:1538466867
Name:BEECHMONT CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BEECHMONT CHIROPRACTIC LLC
Other - Org Name:BEECHMONT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-231-4100
Mailing Address - Street 1:7801 BEECHMONT AVE
Mailing Address - Street 2:SUITE 16
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4211
Mailing Address - Country:US
Mailing Address - Phone:513-231-4100
Mailing Address - Fax:513-231-4972
Practice Address - Street 1:7801 BEECHMONT AVE
Practice Address - Street 2:SUITE 16
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4211
Practice Address - Country:US
Practice Address - Phone:513-231-4100
Practice Address - Fax:513-231-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty