Individual
MAUREEN L PASSIFIUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5577 N HIGH ST, WORTHINGTON, OH 43085-3914
(614) 436-3870
(614) 436-0953
Mailing address
5577 N HIGH ST, WORTHINGTON, OH 43085-3914
(614) 436-3870
(614) 436-0953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
U83062
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4038961
MEDICARE-INDIVIDUAL
OH
05
—
PA2205563
—
OH
Enumeration date
07/22/2005
Last updated
04/02/2008
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