Provider Demographics
NPI:1790754752
Name:KAPLE, ERIC MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MICHAEL
Last Name:KAPLE
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 1:600 E TIFFIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLARD
Mailing Address - State:OH
Mailing Address - Zip Code:44890-9131
Mailing Address - Country:US
Mailing Address - Phone:419-935-0404
Mailing Address - Fax:419-935-1418
Practice Address - Street 1:600 E TIFFIN ST
Practice Address - Street 2:
Practice Address - City:WILLARD
Practice Address - State:OH
Practice Address - Zip Code:44890-9131
Practice Address - Country:US
Practice Address - Phone:419-935-0404
Practice Address - Fax:419-935-1418
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4180731Medicare ID - Type Unspecified
OHV08993Medicare UPIN