Provider Demographics
NPI:1679604177
Name:POLLARD CHIROPRACTIC CLINIC, INC.
Entity Type:Organization
Organization Name:POLLARD CHIROPRACTIC CLINIC, INC.
Other - Org Name:POLLARD CHIROPRACTIC AND REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:H
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-732-3777
Mailing Address - Street 1:684 CINCINNATI BATAVIA PIKE STE B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1027
Mailing Address - Country:US
Mailing Address - Phone:513-732-3777
Mailing Address - Fax:513-732-3778
Practice Address - Street 1:684 CINCINNATI BATAVIA PIKE STE B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1027
Practice Address - Country:US
Practice Address - Phone:513-732-3777
Practice Address - Fax:513-732-3778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1676111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000016091OtherBLUE CROSS BLUE SHIELD
OH1477559862OtherINDIVIDUAL NPI NUMBER
OHPO00689532Medicare PIN
OHPO9262901Medicare ID - Type Unspecified
OH000000016091OtherBLUE CROSS BLUE SHIELD