Provider Demographics
NPI:1578730248
Name:BACH CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:BACH CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:BACH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-231-4100
Mailing Address - Street 1:7801 BEECHMONT AVENUE SUITE 16
Mailing Address - Street 2:
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 AVENUE SUITE 16
Practice Address - Street 2:
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:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2224 OH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0240304Medicaid
OH0240304Medicaid
OHU62108Medicare UPIN