FREEDOM CHIROPRACTIC, LLC (NPI# 1417175449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417175449 |
Entity Type | Organization |
Organization Name | FREEDOM CHIROPRACTIC, LLC |
Practice Address |
1555 Covington Avenue, Suite 1a Piqua OH 45356 |
Practice Telephone | 9376151111 |
Practice Fax Number | 9376151110 |
Mailing Telephone | 9376151111 |
Mailing Fax Number | 9376151110 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2015-01-05 |
Authorized Official Name | DR. ROBERT 'TRAPPER' ALAN PHILLIPS (CHIROPRACTOR/OWNER) |
Authorized Official Telephone | 9376151111 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3675 | OH | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | CAQH PROVIDER NUMBER | 11384830 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396137733 | Freedom Chiropractic, LLC | Chiropractor | 243 Knoll Woods Dr, Rustburg, VA 24588-3316 | 2015-02-23 |
Street Address |
1555 COVINGTON AVENUE, SUITE 1A |
City | PIQUA |
State | OH |
Zip Code | 45356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407470552 | Kelsey Rae Hampshire | Registered Nurse | 1830 West High St. Piqua, Oh 45356, Piqua, OH 45356 | 2020-06-04 |
1235632589 | Charles Joseph Uhl | Nurse Practitioner | 280 Looney Rd Ste 203, Piqua, OH 45356 | 2018-03-13 |
1194272716 | Jeanette Marie Fletcher | Speech-Language Pathologist | 5085 Versailles Road, Piqua, OH 45356 | 2016-09-01 |
1780078808 | Alicia Price | Specialist/Technologist | 14 Coronada Ct, Piqua, OH 45356 | 2015-03-26 |
1265858294 | Eye Q Eyecare Inc | Durable Medical Equipment & Medical Supplies | 8090 Looney Rd. Ste. B, Piqua, OH 45356 | 2014-03-14 |
1841502556 | Amy M Wilson | Licensed Practical Nurse | 9980 Sawgrass Ln, Piqua, OH 45356 | 2010-07-10 |
1184813024 | Henry Albert Berger | Dentist | 224 W Greene St, Piqua, OH 45356 | 2007-10-16 |
1205048980 | Rhonda Leigh Foster | Registered Nurse | 524 Boal Ave., Piqua, OH 45356 | 2007-05-04 |
1710100425 | Gretchen Marie Lorenz | Family Medicine | 9159n County Rd 25a, Piqua Family Practice, Piqua, OH 45356 | 2007-04-11 |
1669519757 | Jill A Mcfarland | Dentist | 224 W. Geeene St., Piqua, OH 45356 | 2007-01-30 |
Find all providers in zip 45356 |
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 |
---|---|---|---|---|
1285939231 | Gregory Keith Knoderer | Chiropractor | 1306 Garbry Rd, Piqua, OH 45356-8219 | 2011-01-24 |
1457429672 | Terry L Jones | Chiropractor | 210 N Downing St, Piqua, OH 45356 | 2006-12-04 |
1568563377 | Robert A Phillips | Chiropractor | 1555 Covington Ave, Piqua, OH 45356-2830 | 2006-09-26 |
1811092323 | Booher Chiropractic Center, Inc. | Chiropractor | 1760 W High St, Piqua, OH 45356-9325 | 2006-09-13 |
1750383741 | Christopher A. Coughlin | Chiropractor | 404 N Wayne St, Piqua, OH 45356-2232 | 2005-08-10 |
1578751855 | Terry L Jones, D.c. Inc. | Chiropractor | 210 N Downing St, Piqua, OH 45356-2206 | 2007-10-11 |
1437254802 | Scott D Booher | Chiropractor | 1760 W High St, Piqua, OH 45356-9325 | 2006-09-13 |
1871698217 | Kent D Booher | Chiropractor | 1760 W High St, Piqua, OH 45356-9325 | 2006-09-13 |
1013012434 | Gregory S Booher | Chiropractor | 1760 W High St, Piqua, OH 45356-9325 | 2006-09-13 |
1942260724 | Robert A Love | Chiropractor | 143 N Sunset Dr, Piqua, OH 45356-2645 | 2006-03-24 |
Find all providers in PIQUA |
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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.