Provider Demographics
NPI:1578524062
Name:ORR, MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:ORR
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 1:106 E FINDLAY ST
Mailing Address - Street 2:
Mailing Address - City:CAREY
Mailing Address - State:OH
Mailing Address - Zip Code:43316-1248
Mailing Address - Country:US
Mailing Address - Phone:419-396-1515
Mailing Address - Fax:419-396-1919
Practice Address - Street 1:106 E FINDLAY ST
Practice Address - Street 2:
Practice Address - City:CAREY
Practice Address - State:OH
Practice Address - Zip Code:43316-1248
Practice Address - Country:US
Practice Address - Phone:419-396-1515
Practice Address - Fax:419-396-1919
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2609609Medicaid
OHOR4066993Medicare ID - Type Unspecified
OHU88548Medicare UPIN
OHOR4066994Medicare ID - Type Unspecified