Provider Demographics
NPI:1558929695
Name:BILLING CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:BILLING CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-691-2030
Mailing Address - Street 1:121 SHUE DR
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:OH
Mailing Address - Zip Code:45302-8402
Mailing Address - Country:US
Mailing Address - Phone:937-691-2030
Mailing Address - Fax:937-691-2035
Practice Address - Street 1:121 SHUE DR
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:OH
Practice Address - Zip Code:45302-8402
Practice Address - Country:US
Practice Address - Phone:937-691-2030
Practice Address - Fax:937-691-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty