# BEAVERCREEK CHIROPRACTIC CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BEAVERCREEK CHIROPRACTIC CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073713533
- **Authorized official:** DR. GREGORY P PALKOWSKI DC (PRESIDENT)
- **Authorized official phone:** (937) 426-9265

## Contact information

- **Practice address:** 1654 MARDON DR, BEAVERCREEK, OH 45432-1949
- **Practice address phone:** (937) 426-9265
- **Practice address fax:** (937) 426-9613
- **Mailing address:** 1654 MARDON DR, BEAVERCREEK, OH 45432-1949
- **Mailing address phone:** (937) 426-9265
- **Mailing address fax:** (937) 426-9613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3166 | OH | — |
| 111N00000X | Chiropractor | 905 | OH | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 09/02/2008