Organization
MT. LOOKOUT CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A KING D.C (OWNER)
(513) 321-8484
Entity
Organization
Contact information
Practice address
455 DELTA AVE, SUITE 1, CINCINNATI, OH 45226-1127
(513) 321-8484
(513) 321-3676
Mailing address
455 DELTA AVE, SUITE 1, CINCINNATI, OH 45226-1127
(513) 321-8484
(513) 321-3676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0687065
—
OH
01
—
C12019
RR MEDICARE GROUP NO.
OH
Enumeration date
03/29/2007
Last updated
04/21/2011
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