Organization
ERIC R. DIEFFENBAUGHER DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R DIEFFENBAUGHER DC (OWNER/CHIROPRACTOR)
(513) 874-2849
Entity
Organization
Contact information
Practice address
5957 BOYMEL DR STE 4, FAIRFIELD, OH 45014-5633
(513) 874-2849
(513) 874-4235
Mailing address
5957 BOYMEL DR STE 4, FAIRFIELD, OH 45014-5633
(513) 874-2849
(513) 874-4235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2843
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467492272
INDIVIDUAL NPI
OH
01
—
4084441
RENDERING PROVIDER ID
OH
Enumeration date
11/30/2007
Last updated
01/07/2008
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