# MT. LOOKOUT CHIROPRACTIC CENTER, INC.

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

## Provider details

- **NPI number:** 1346369295
- **Authorized official:** MR. MARK A KING D.C (OWNER)
- **Authorized official phone:** (513) 321-8484

## Contact information

- **Practice address:** 455 DELTA AVE, SUITE 1, CINCINNATI, OH 45226-1127
- **Practice address phone:** (513) 321-8484
- **Practice address fax:** (513) 321-3676
- **Mailing address:** 455 DELTA AVE, SUITE 1, CINCINNATI, OH 45226-1127
- **Mailing address phone:** (513) 321-8484
- **Mailing address fax:** (513) 321-3676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 04/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0687065 | — | OH |
| 01 | — | C12019 | RR MEDICARE GROUP NO. | OH |