# PRENTICE FAMILY CHIROPRACTIC, LLC

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

## Provider details

- **NPI number:** 1992072771
- **Authorized official:** DR. STEVEN RAY PRENTICE D.C. (CEO)
- **Authorized official phone:** (419) 621-7555

## Contact information

- **Practice address:** 1723 COLUMBUS AVE, SUITE B, SANDUSKY, OH 44870-3546
- **Practice address phone:** (419) 621-7555
- **Practice address fax:** (419) 621-5597
- **Mailing address:** 1723 COLUMBUS AVE, SUITE B, SANDUSKY, OH 44870-3546
- **Mailing address phone:** (419) 621-7555
- **Mailing address fax:** (419) 621-5597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2262 | OH | Yes |

## Other

- **Enumeration date:** 11/22/2011
- **Last updated:** 01/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0229176 | — | OH |