Provider Demographics
NPI:1376842971
Name:LEMMINK, CHAD WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:WILLIAM
Last Name:LEMMINK
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 1:23 ROBBIE RDG
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1693
Mailing Address - Country:US
Mailing Address - Phone:513-290-8733
Mailing Address - Fax:
Practice Address - Street 1:453 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-8600
Practice Address - Country:US
Practice Address - Phone:937-444-1560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4148111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor