DR. CHARLES HUDDLESTON (NPI# 1144319336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144319336 |
Entity Type | Individual |
Full Name | DR. CHARLES HUDDLESTON |
Credential | D.C. |
Practice Address |
27 N Main St Fort Loramie OH 45845 |
Mailing Address |
Po Box 185 Fort Loramie OH 45845-0185 |
Practice Telephone | 9372952212 |
Practice Fax Number | 9372952214 |
Mailing Telephone | 9372952212 |
Mailing Fax Number | 9372952214 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3467 | OH | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ANTHEM BC/BS ID | 000000331713 | 01 |
OH | MEDICARE GROUP ID | 9344141 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942226162 | Charles Buford Huddleston | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1465 South Grand Blvd., Suite 5730 Cardinal Glennon Hosp., St. Louis, MO 63104-1095 | 2006-07-14 |
1295744043 | Charles Louis Huddleston | Physical Medicine & Rehabilitation | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-08-07 |
1609805431 | Charles T Huddleston | Emergency Medicine | 203 N Cedar Ave, Cookeville, TN 38501 | 2006-07-02 |
1518925825 | Charles I Huddleston | Dermatology | 200 Fort Sanders West Blvd, Suite 102, Knoxville, TN 37922-3357 | 2006-05-03 |
Street Address |
27 N MAIN ST |
City | FORT LORAMIE |
State | OH |
Zip Code | 45845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326253576 | Fort Loramie Chiropractic | Chiropractor | 27 N Main St, Fort Loramie, OH 45845 | 2007-05-11 |
1376632570 | Jennifer Huddleston | Chiropractor | 27 N Main St, Fort Loramie, OH 45845 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528270311 | Primary Eyecare Associates Inc | Optometrist | 20 S. Main Street, Ft. Loramie, OH 45845 | 2007-05-04 |
1699840512 | Dustin J. Detrick | Chiropractor | 406 South Main Street, Fort Loramie, OH 45845 | 2006-11-24 |
1811106081 | Fort Loramie Rescue Squad, Inc | Ambulance | 260 Main St, Fort Loramie, OH 45845 | 2007-05-22 |
1114075686 | Christopher M Ashby | Dentist | 20 South Main Street, Fort Loramie, OH 45845 | 2007-01-08 |
1881831154 | Fort Loramie Local Schools | Local Education Agency (LEA) | 575 Greenback Rd, Fort Loramie, OH 45845-0026 | 2009-01-08 |
1841464088 | Detrick Chiropractic LLC | Chiropractor | 406 South Main Street, Fort Loramie, OH 45845-0260 | 2008-04-18 |
1962616243 | Sandra Cathryn Pitts | Licensed Practical Nurse | 19 South Main Street, Fort Loramie, OH 45845-0302 | 2007-05-09 |
1558419036 | John R. Campbell | Dentist | 20 South Main Street, Fort Loramie, OH 45845-0318 | 2007-01-08 |
1114311610 | Christopher M. Ashby Dds, Inc. | Dentist | 20 S. Main St., Fort Loramie, OH 45845-0318 | 2015-03-23 |
1962802934 | Janelle Brandewie | Physical Therapy Assistant | 11151 Brandewie Rd, Fort Loramie, OH 45845-8732 | 2014-08-27 |
Find all providers in zip 45845 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699840512 | Dustin J. Detrick | Chiropractor | 406 South Main Street, Fort Loramie, OH 45845 | 2006-11-24 |
1841464088 | Detrick Chiropractic LLC | Chiropractor | 406 South Main Street, Fort Loramie, OH 45845-0260 | 2008-04-18 |
1326253576 | Fort Loramie Chiropractic | Chiropractor | 27 N Main St, Fort Loramie, OH 45845 | 2007-05-11 |
1376632570 | Jennifer Huddleston | Chiropractor | 27 N Main St, Fort Loramie, OH 45845 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205436326 | Nathan Granger | Chiropractor | 1022 W Auglaize St Ste 102, Wapakoneta, OH 45895-1365 | 2020-10-28 |
1891302881 | Az Chiro LLC | Chiropractor | 13477 Prospect Rd Ste 101a, Strongsville, OH 44149-3863 | 2020-09-24 |
1265044002 | Apollo Family Chiropractic LLC | Chiropractor | 3520 Snouffer Rd Ste 202, Columbus, OH 43235-2794 | 2020-08-22 |
1699387977 | Scioto Valley Chiropractic and Rehab Center LLC | Chiropractor | 1716 11th St, Portsmouth, OH 45662-4528 | 2020-08-19 |
1508476672 | Precision Active Health | Chiropractor | 27600 Chagrin Blvd Ste 160, Woodmere, OH 44122-4421 | 2020-08-04 |
1568089779 | Harry John Dermanelian II | Chiropractor | 3504 Secor Rd Ste 325, Toledo, OH 43606-1545 | 2020-07-03 |
1407472004 | Physical Medicine Center of St Elizabeth | Chiropractor | 1 Elizabeth Pl Ste 1100b, Dayton, OH 45417-3445 | 2020-06-19 |
1972128817 | Patriot Holdings of Ohio, LLC | Chiropractor | 3860 Hard Rd, Dublin, OH 43016-8025 | 2020-06-16 |
1487277166 | Jared Mainous | Chiropractor | 10005 Fremont Pike Ste B, Perrysburg, OH 43551-3388 | 2020-05-28 |
1922621499 | Paul A Books | Chiropractor | 7226 S State Route 48, Maineville, OH 45039-9775 | 2020-05-19 |
Find all providers with the same taxonomy |
City | FORT LORAMIE |
Zip Code | 45845 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.