Provider Demographics
NPI:1942471149
Name:MIAMI HEIGHTS CHIROPRACTIC CENTER INC.
Entity Type:Organization
Organization Name:MIAMI HEIGHTS CHIROPRACTIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:TITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-941-6464
Mailing Address - Street 1:7595 BRIDGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-2019
Mailing Address - Country:US
Mailing Address - Phone:513-941-6464
Mailing Address - Fax:513-941-6684
Practice Address - Street 1:7595 BRIDGETOWN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-2019
Practice Address - Country:US
Practice Address - Phone:513-941-6464
Practice Address - Fax:513-941-6684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9361221Medicare PIN