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Individual

RYAN R REEVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1460 JEFFERSON STREET, SUITE A, GREENFIELD, OH 45123
(937) 981-1992
Mailing address
1460 JEFFERSON STREET, SUITE A P.O.BOX 11, GREENFIELD, OH 45123
(937) 981-1992

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3615
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
432084906-00
GROUP WORKERS COMP
OH
01
7491626
INDIVIDUAL AETNA
OH
01
7638742
GROUP AETNA
OH
Enumeration date
06/29/2006
Last updated
07/08/2007
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