# BROAD STREET CHIROPRACTIC CLINIC INC

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

## Provider details

- **NPI number:** 1467626333
- **Authorized official:** DR. DAVID R PHILLIPS DC (OWNER)
- **Authorized official phone:** (614) 251-0222

## Contact information

- **Practice address:** 899 E BROAD ST, SUITE 425, COLUMBUS, OH 43205-1156
- **Practice address phone:** (614) 251-0222
- **Practice address fax:** (614) 251-0258
- **Mailing address:** 899 E BROAD ST STE 425, COLUMBUS, OH 43205-1195
- **Mailing address phone:** (614) 251-0222
- **Mailing address fax:** (614) 251-0258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1946 | OH | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 10/16/2012