# NORTHEAST CHIROPRACTIC CLINIC INC.

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

## Provider details

- **NPI number:** 1750468161
- **Authorized official:** DR. OBI C CHINAKWE DC, DAAPM, FABDA (CLINIC DIRECTOR)
- **Authorized official phone:** (614) 447-2030

## Contact information

- **Practice address:** 3172 CLEVELAND AVE, COLUMBUS, OH 43224-3604
- **Practice address phone:** (614) 447-2030
- **Mailing address:** 3172 CLEVELAND AVE, COLUMBUS, OH 43224-3604
- **Mailing address phone:** (614) 447-2030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2091 | OH | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 07/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0993760 | — | OH |