Individual
MR. KEITH E HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5525 HARROUN ROAD, SYLVANIA, OH 43560
(419) 882-6455
(419) 932-6230
Mailing address
5525 HARROUN ROAD, SYLVANIA, OH 43560
(419) 882-6455
(419) 882-2880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301005948
MI
111N00000X
Chiropractor
Primary
672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000117520
ANTHEM BCBS
OH
01
—
0004279160
AETNA
OH
05
—
0333731
—
OH
01
—
31091906700
BUREAU OF WORKERS COMPENS
OH
01
—
310919067005
MEDICAL MUTUAL
OH
01
—
350001993
RAILROAD MEDICARE
OH
01
—
901
PARAMOUNT HEALTH CARE
OH
01
—
955066
AETNA HEALTH INC
OH
Enumeration date
04/27/2006
Last updated
02/04/2022
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