| Ewing Chiropractic Llc | |
|
7625 Paragon Rd Suite A Dayton OH 45459-4067 | |
| (937) 435-5566 | |
| (937) 425-0032 |
| Full Name | Ewing Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7625 Paragon Rd, Dayton, Ohio |
| Authorized Official Name and Position | Joseph T Ewing (PRESIDENT) |
| Authorized Official Contact | 9374355566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ewing Chiropractic Llc Po Box 751176 Dayton OH 45475-1176 Ph: (937) 435-5566 | Ewing Chiropractic Llc 7625 Paragon Rd Suite A Dayton OH 45459-4067 Ph: (937) 435-5566 |
| NPI Number | 1891918330 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4981635893 |
|---|---|
| Medicare Enrollment ID | O20050830000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891918330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1695 (Ohio) | Primary |
| Provider Name | Joseph T Ewing |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205942695 PECOS PAC ID: 7618908690 Enrollment ID: I20050831000234 |
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