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Organization
ROSELAWN CHIROPRACTIC CENTER INC.
Active
Organization
ROSELAWN CHIROPRACTIC CENTER INC.
Active
Parent organization
ROSELAWN CHIROPRACTIC INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSELAWN CHIROPRACTIC INC.
Authorized official
DR. KEVIN MICHEAL GULLA (PRESIDENT)
(513) 821-5757
Entity
Organization
Contact information
Practice address
7733 READING RD, CINCINNATI, OH 45237-2142
(513) 821-5757
(513) 679-4662
Mailing address
7733 READING RD, CINCINNATI, OH 45237-2142
(513) 821-5757
(513) 679-4662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2107
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015445
NEW ANTHEM
OH
05
—
0990503
—
OH
01
—
110461728-00
WORKER'S COMP
OH
01
—
27333-0002
CINCINNATI HEALTH PLAN
OH
01
—
350048971
RAILROAD MEDICARE
OH
Enumeration date
04/17/2008
Last updated
07/17/2008
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