WOODVILLE PROFESSIONAL HEALTHCARE LLC


Address: 1823 W State St, Fremont, OH 43420-1635
Phone: 4193347737

WOODVILLE PROFESSIONAL HEALTHCARE LLC (NPI# 1780866525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780866525
Entity Type Organization
Organization Name WOODVILLE PROFESSIONAL HEALTHCARE LLC
Other Organization Name FREMONT CHIROPRACTIC CLINIC
Practice Address 1823 W State St
Fremont
OH 43420-1635
Practice Telephone 4193347737
Practice Fax Number 4193342828
Mailing Telephone 4193347737
Mailing Fax Number 4193342828
Enumeration Date 2007-12-04
Last Update Date 2013-08-05
Authorized Official Name DR. TY N TRACY (OWNER)
Authorized Official Telephone 4193347737
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 2805 OH Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH ANTHEM BCBS 000000362532 01

Other Provider/Organization Names

Other Name Type Code
Fremont Chiropractic Clinic Doing Business As Name - Organization

Office Location

Street Address 1823 W STATE ST
City FREMONT
State OH
Zip Code 43420-1635

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114047495 Jennifer L Costilla Massage Therapist 1823 W State St, Fremont, OH 43420-1635 2007-03-30
1215137567 Rickey Wright Md LLC General Practice 1823 W State St, Fremont, OH 43420-1635 2007-07-24
1629090956 Rickey Wright General Practice 1823 W State St, Fremont, OH 43420-1635 2006-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225596570 Trisha D Hamm Nurse Practitioner Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 2019-03-06
1558886051 Kortney Blair Potridge Homemaker 1718 Buckland Avenue, Fremont, OH 43420 2017-08-07
1699134015 Gentle Caring Dentistry of Fremont Ohio Dentist 2430 Enterprise St, Fremont, OH 43420 2016-02-12
1033574587 Alyssa Dickman Physical Therapy Assistant 1310 Chestnut St, Fremont, OH 43420 2015-12-29
1437566734 Michael Allen Koebel Registered Nurse 1728 Oak Harbor Rd, Fremont, OH 43420 2014-07-18
1598183774 Harry D. Burger Dentist 567 Bartson Rd., Fremont, OH 43420 2014-04-03
1750706636 Lori Fisher Registered Nurse 500 W. State St., Suite A, Fremont, OH 43420 2014-02-28
1699113001 Cora Renea Minich Massage Therapist 510 Court Street, Fremont, OH 43420 2013-06-07
1477850071 Parschauer Eye Center Inc Eyewear Supplier (Equipment, not the service) 126 S. Front St, Fremont, OH 43420 2011-02-16
1316260839 Marla D Carlisle Physician Assistant 605 Third Avenue, Suite B, Fremont, OH 43420 2010-03-11
Find all providers in zip 43420

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811595762 Haynes Chiropractic Chiropractor 3775 Beacon Ave Ste 200, Fremont, CA 94538-1466 2020-10-13
1720626062 Kevin A Bruinsma Chiropractor 43344 Mission Blvd, Fremont, CA 94539-5829 2019-12-17
1861950081 Frank Alexios Lee Chiropractor 39420 Liberty St Ste 160, Fremont, CA 94538-2296 2019-03-06
1093270688 Timothy Lorne Haynes Chiropractor 3775 Beacon Ave., Suite 200, Fremont, CA 94538 2019-02-07
1982138731 Christopher Morrow Chiropractor 3040 Beard Rd, Fremont, CA 94555-1470 2017-04-19
1316393754 Ashley Chen Chiropractor 40668 Canyon Heights Dr, Fremont, CA 94539-3886 2016-05-04
1407155203 Mohamed Sayed El-shimey Chiropractor 3100 Capitol Ave Ste C, Fremont, CA 94538-1527 2011-03-18
1831497965 Sino-legacy Acupuncture Clinic Chiropractor 46164 Warm Springs Blvd, Unit 266, Fremont, CA 94539-7985 2011-03-14
1992012678 Shafiq Ansari Chiropractor 200 Brown Rd Ste 112, Fremont, CA 94539-7984 2010-09-01
1750693610 Patrick Joseph Walter Chiropractor 39355 California St Ste 106, Fremont, CA 94538-1447 2010-07-08
Find all providers in FREMONT

Competitor

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City FREMONT
Zip Code 43420

Improve Information

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Dataset Information

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.

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