Lydy Chiropractic, Inc.

NPI 1073792628 - Chiropractor - 111N00000X

NPI Details
NPI 1073792628
Enumeration Date 10/31/2007
Last Updated 10/31/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MIKEL DEAN MIKEL
Position EXECUTOR
Phone (419) 683-1298
Fax (419) 683-4023
Practice Location
1329 COUNTY LINE RD
CRESTLINE OH, 44827-1217, US
Phone (419) 683-1298
Fax (419) 683-4023
Business Location
1329 COUNTY LINE RD
CRESTLINE OH, 44827-1217, US
Phone (419) 683-1298
Fax (419) 683-4023
Toxanomy
Taxonomy Code 111N00000X
License State Ohio
License Number 860
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According to our database, Lydy Chiropractic, Inc. NPI is 1073792628, taxonomy code is 111N00000X and license number is 860, license state is located at Ohio. Lydy Chiropractic, Inc. physically located at 1329 County Line Rd, Crestline OH, 44827-1217. NPI Number 1033115704 has the healthcare provider type.

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1073792628 NPI number is provided on an as is basis without warranty of any kind. 1073792628 is maintained by the National Plan & Provider Enumeration System. The contents of Lydy Chiropractic, Inc. are for informational purposes only.