Provider Demographics
NPI:1942392154
Name:PREFERRED CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:PREFERRED CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PREFERRED CHIROPRACTIC LL
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:RESTAINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-578-8778
Mailing Address - Street 1:2601 NEEDMORE RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414
Mailing Address - Country:US
Mailing Address - Phone:937-277-7246
Mailing Address - Fax:937-277-3719
Practice Address - Street 1:2601 NEEDMORE RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414
Practice Address - Country:US
Practice Address - Phone:937-277-7246
Practice Address - Fax:937-277-3719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty