Provider Demographics
NPI:1831315530
Name:LOVE, CHRISTOPHER MAX (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MAX
Last Name:LOVE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:MAX
Other - Last Name:LOVE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:3590 HOOVER ROAD,
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-0577
Mailing Address - Country:US
Mailing Address - Phone:614-871-8400
Mailing Address - Fax:614-871-8897
Practice Address - Street 1:3590 HOOVER ROAD,
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-0577
Practice Address - Country:US
Practice Address - Phone:614-871-8400
Practice Address - Fax:614-871-8897
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3709111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3709OtherLICENSE NUMBER
OH9373871Medicare UPIN