# ERIC R. DIEFFENBAUGHER DC

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

## Provider details

- **NPI number:** 1063694065
- **Authorized official:** DR. ERIC R DIEFFENBAUGHER DC (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (513) 874-2849

## Contact information

- **Practice address:** 5957 BOYMEL DR STE 4, FAIRFIELD, OH 45014-5633
- **Practice address phone:** (513) 874-2849
- **Practice address fax:** (513) 874-4235
- **Mailing address:** 5957 BOYMEL DR STE 4, FAIRFIELD, OH 45014-5633
- **Mailing address phone:** (513) 874-2849
- **Mailing address fax:** (513) 874-4235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2843 | OH | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 01/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1467492272 | INDIVIDUAL NPI | OH |
| 01 | — | 4084441 | RENDERING PROVIDER ID | OH |