Organization
NORTHWEST OHIO CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE GAULARD D.C. (PRESIDENT)
(419) 636-5279
Entity
Organization
Contact information
Practice address
1304 W HIGH ST, BRYAN, OH 43506-1544
(419) 636-5279
(419) 636-5805
Mailing address
1304 W HIGH ST, BRYAN, OH 43506-1544
(419) 636-5279
(419) 636-5805
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
839
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444488
—
OH
Enumeration date
11/11/2010
Last updated
11/11/2010
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