Provider Demographics
NPI:1659390839
Name:CARTWRIGHT CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:CARTWRIGHT CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROB
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC CCSP FIAMA
Authorized Official - Phone:513-942-2500
Mailing Address - Street 1:2766 MACK RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014
Mailing Address - Country:US
Mailing Address - Phone:513-942-2500
Mailing Address - Fax:513-942-7999
Practice Address - Street 1:2766 MACK RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014
Practice Address - Country:US
Practice Address - Phone:513-942-2500
Practice Address - Fax:513-942-7999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0881569Medicaid
OH881569Medicaid
OH0725273Medicare ID - Type Unspecified
OH881569Medicaid
O35040Medicare UPIN
OHCA0725273Medicare PIN