Individual
DR. RICHARD J MAYNARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
784 E MAIN ST, LANCASTER, OH 43130-3983
(740) 687-0100
(740) 687-0145
Mailing address
784 E MAIN ST, LANCASTER, OH 43130-3983
(740) 687-0100
(740) 687-0145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OH3214
OH
111NR0400X
Rehabilitation Chiropractor
OH3214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2283603
—
OH
01
—
31-0991279
TAX ID
OH
01
—
P00465005
RAILROAD MEDICARE
OH
Enumeration date
11/07/2006
Last updated
05/01/2008
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