Provider Demographics
NPI:1801812433
Name:NORTH FRANKLIN STREET CHIROPRACTIC CENTRE, INC.
Entity type:Organization
Organization Name:NORTH FRANKLIN STREET CHIROPRACTIC CENTRE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-485-9006
Mailing Address - Street 1:2460 NORTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-0368
Mailing Address - Country:US
Mailing Address - Phone:614-485-9006
Mailing Address - Fax:866-438-7821
Practice Address - Street 1:2460 NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3868
Practice Address - Country:US
Practice Address - Phone:614-485-9006
Practice Address - Fax:866-438-7821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0570841Medicaid