# YOUNG CHIROPRACTIC INC

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

## Provider details

- **NPI number:** 1760518229
- **Authorized official:** DR. THRESA MARIE YOUNG DC (CEO)
- **Authorized official phone:** (419) 492-2129

## Contact information

- **Practice address:** 201S KIBLER ST, NEW WASHINGTON, OH 44854
- **Practice address phone:** (419) 492-2129
- **Practice address fax:** (419) 492-3344
- **Mailing address:** PO BOX 325, NEW WASHINGTON, OH 44854
- **Mailing address phone:** (419) 492-2129
- **Mailing address fax:** (419) 492-3344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1716 | OH | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000131591 | ANTHEM BC & BS | — |
| 05 | — | 0867736 | — | OH |
| 01 | — | 282726456002 | MEDICAL MUTUAL OF OHIO | — |