Provider Demographics
NPI:1891744025
Name:COMBS, CHAD DENNING (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:DENNING
Last Name:COMBS
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:PO BOX 483
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45068-0483
Mailing Address - Country:US
Mailing Address - Phone:513-897-0117
Mailing Address - Fax:513-897-0217
Practice Address - Street 1:243 S. MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:OH
Practice Address - Zip Code:45068
Practice Address - Country:US
Practice Address - Phone:513-897-0117
Practice Address - Fax:513-897-0117
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1785111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0710843OtherMEDICARE PTAN
0710843OtherMEDICARE PTAN
OHU29328Medicare UPIN