DETRICK CHIROPRACTIC LLC (NPI# 1841464088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841464088 |
| Entity Type | Organization |
| Organization Name | DETRICK CHIROPRACTIC LLC |
| Practice Address |
406 South Main Street Fort Loramie OH 45845-0260 |
| Mailing Address |
Po Box 260 406 South Main Street Fort Loramie OH 45845-0260 |
| Practice Telephone | 9374204000 |
| Practice Fax Number | 9374204001 |
| Mailing Telephone | 9374204000 |
| Mailing Fax Number | 9374204001 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | DR. DUSTIN J DETRICK (OWNER) |
| Authorized Official Telephone | 9374204000 |
| Authorized Official Credential | D.C., L.C.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2482 | OH | Chiropractic Providers |
| Street Address |
406 SOUTH MAIN STREET |
| City | FORT LORAMIE |
| State | OH |
| Zip Code | 45845-0260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699840512 | Dustin J. Detrick | Chiropractor | 406 South Main Street, Fort Loramie, OH 45845 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528270311 | Primary Eyecare Associates Inc | Optometrist | 20 S. Main Street, Ft. Loramie, OH 45845 | 2007-05-04 |
| 1811106081 | Fort Loramie Rescue Squad, Inc | Ambulance | 260 Main St, Fort Loramie, OH 45845 | 2007-05-22 |
| 1326253576 | Fort Loramie Chiropractic | Chiropractor | 27 N Main St, Fort Loramie, OH 45845 | 2007-05-11 |
| 1114075686 | Christopher M Ashby | Dentist | 20 South Main Street, Fort Loramie, OH 45845 | 2007-01-08 |
| 1376632570 | Jennifer Huddleston | Chiropractor | 27 N Main St, Fort Loramie, OH 45845 | 2006-10-12 |
| 1144319336 | Charles Huddleston | Chiropractor | 27 N Main St, Fort Loramie, OH 45845 | 2006-10-12 |
| 1881831154 | Fort Loramie Local Schools | Local Education Agency (LEA) | 575 Greenback Rd, Fort Loramie, OH 45845-0026 | 2009-01-08 |
| 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 |
| 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 |
| 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 |
| 1144319336 | Charles Huddleston | Chiropractor | 27 N Main St, Fort Loramie, OH 45845 | 2006-10-12 |
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| 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.