Provider Demographics
NPI:1629117718
Name:GOOD HEALTH CHIROPRACTIC INC
Entity Type:Organization
Organization Name:GOOD HEALTH CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-773-4663
Mailing Address - Street 1:80 EAST SECOND ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-2523
Mailing Address - Country:US
Mailing Address - Phone:740-773-4663
Mailing Address - Fax:740-774-1400
Practice Address - Street 1:80 EAST SECOND ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-2523
Practice Address - Country:US
Practice Address - Phone:740-773-4663
Practice Address - Fax:740-774-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2328556 PIN2332Medicaid
OH2328556 PIN2332Medicaid
GO4086701Medicare ID - Type Unspecified