# RONALD J. FARABAUGH DC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farabaugh Chiropractic Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184616641
- **Authorized official:** DR. RONALD J. FARABAUGH DC (OWNER)
- **Authorized official phone:** (614) 898-0787

## Contact information

- **Practice address:** 2879 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43231-4063
- **Practice address phone:** (614) 898-0787
- **Practice address fax:** (614) 898-1945
- **Mailing address:** 2879 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43231-4063
- **Mailing address phone:** (614) 898-0787
- **Mailing address fax:** (614) 898-1945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1746 | OH | — |
| 111N00000X | Chiropractor | 3799 | OH | — |
| 111N00000X | Chiropractor | 939 | OH | Yes |

## Other

- **Enumeration date:** 08/19/2005
- **Last updated:** 07/19/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0496922 | — | OH |
| 05 | — | 0861090 | — | OH |
| 01 | — | 1746 | LICENSE | OH |
| 01 | — | 17750858200 | BWC | OH |
| 05 | — | 2117024 | — | OH |
| 01 | — | 28676858700 | BWC | OH |
| 01 | — | 29774467900 | BWC | OH |
| 01 | — | 3799 | LICENSE | OH |
| 01 | — | 939 | LICENSE | OH |
| 01 | — | RO9300211 | MEDICARE GROUP \# | OH |