Provider Demographics
NPI:1831292143
Name:HEALTHQUEST OF BLANCHESTER INC
Entity Type:Organization
Organization Name:HEALTHQUEST OF BLANCHESTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PREWITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-783-3771
Mailing Address - Street 1:8390 E KEMPER RD STE A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1600
Mailing Address - Country:US
Mailing Address - Phone:513-774-9800
Mailing Address - Fax:888-315-2865
Practice Address - Street 1:8057 WASHINGTON VILLAGE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-1847
Practice Address - Country:US
Practice Address - Phone:377-833-7719
Practice Address - Fax:888-315-2865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0996212Medicaid
OH6142460001Medicare NSC
OH9311331Medicare PIN