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Organization

BATAVIA CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMERSON SAMUEL TAYLOR DC, DIBCN (CEO/OWNER)
(513) 515-4937
Entity
Organization

Contact information

Practice address
25 N MARKET ST, BATAVIA, OH 45103-2906
(513) 515-4937
(844) 692-7290
Mailing address
25 N MARKET ST, BATAVIA, OH 45103-2906
(513) 515-4937

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1082955
ASH
OH
05
2528312
OH
01
659365
OPTUM/UHC
OH
01
CS1723300109
CARESOURCE
OH
01
QMP000003651293
MOLINA
OH
Enumeration date
11/24/2015
Last updated
02/06/2019
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