# WILMINGTON PIKE CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013198308
- **Authorized official:** MRS. KAREN SUE WEBER (MANAGER)
- **Authorized official phone:** (937) 433-5154

## Contact information

- **Practice address:** 4770 WILMINGTON PIKE, KETTERING, OH 45440-2021
- **Practice address phone:** (937) 433-5154
- **Practice address fax:** (937) 433-2884
- **Mailing address:** 4770 WILMINGTON PIKE, KETTERING, OH 45440-2021
- **Mailing address phone:** (937) 433-5154
- **Mailing address fax:** (937) 433-2884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2108 | OH | Yes |

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 05/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000020117 | BC/BS | OH |
| 01 | — | 000000364432 | ANTHEM | OH |
| 05 | — | 0460040 | — | OH |
| 01 | — | 4490200 | UHC | OH |