Provider Demographics
NPI:1639237365
Name:TITUS, DUANE E (DC)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:E
Last Name:TITUS
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 1:42 GRANDIN RD
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-9677
Mailing Address - Country:US
Mailing Address - Phone:513-677-7463
Mailing Address - Fax:513-677-8171
Practice Address - Street 1:42 GRANDIN RD
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-9677
Practice Address - Country:US
Practice Address - Phone:513-677-7463
Practice Address - Fax:513-677-8171
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2214133Medicaid
OHU87218Medicare UPIN
OH0888531Medicare PIN