Provider Demographics
NPI:1609808435
Name:DUERMIT, BRIAN H (DC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:H
Last Name:DUERMIT
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 1:7376 HURLINSHAM LN
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-7339
Mailing Address - Country:US
Mailing Address - Phone:513-673-9486
Mailing Address - Fax:
Practice Address - Street 1:3116 W US HIGHWAY 22 AND 3
Practice Address - Street 2:SUITE O
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-8103
Practice Address - Country:US
Practice Address - Phone:513-683-4387
Practice Address - Fax:513-683-9219
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2097111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0993162Medicaid
OHU52517Medicare UPIN
OH0993162Medicaid