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Individual

DR. CHARLES BORG HAFELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6527 HAMILTON AVE, CINCINNATI, OH 75224
(513) 931-7325
(513) 931-7324
Mailing address
6527 HAMILTON AVE, CINCINNATI, OH 45224-1029
(513) 931-7325
(513) 672-0781

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0006186
FL
111N00000X
Chiropractor
Primary
OHIO1564
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0135053
OH
01
15597
ANTHEM
01
31131546700
WORK & DUP
OH
01
398360001
CARE SOURCE
OH
Enumeration date
02/20/2007
Last updated
04/24/2015
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