Provider Demographics
NPI:1922293869
Name:DIMENSIONS CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:DIMENSIONS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-899-9933
Mailing Address - Street 1:2615 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4039
Mailing Address - Country:US
Mailing Address - Phone:614-899-9933
Mailing Address - Fax:614-899-9394
Practice Address - Street 1:2615 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4039
Practice Address - Country:US
Practice Address - Phone:614-899-9933
Practice Address - Fax:614-899-9394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2129111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9304531Medicare PIN