Provider Demographics
NPI:1922026327
Name:PREWITT, ROBERT (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:PREWITT
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 1:8390 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 1:8390 E KEMPER RD STE A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1600
Practice Address - Country:US
Practice Address - Phone:513-774-9800
Practice Address - Fax:888-315-2865
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0996196Medicaid
OH0770292Medicare PIN