Organization
DIVINE CHIROPRACTIC AND WELLNESS CENTER
Active
Parent organization
DIVINE CHIROPRACTIC AND WELLNESS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE CHIROPRACTIC AND WELLNESS CENTER
Authorized official
DEDDEH A. KORVAH-REED D.C (CHIROPRACTOR/OWNER)
(614) 222-0019
Entity
Organization
Contact information
Practice address
629 S OHIO AVE, COLUMBUS, OH 43205-2743
(614) 477-8140
(614) 258-3811
Mailing address
67 PARSONS AVE, COLUMBUS, OH 43215-3978
(614) 222-0019
(614) 222-0019
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3769
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2805503
—
OH
Enumeration date
03/04/2009
Last updated
01/21/2015
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