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Individual

DR. CHRISTOPHER A. COUGHLIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
404 N WAYNE ST, PIQUA, OH 45356-2232
(937) 667-7700
(937) 667-5189
Mailing address
215 S GARBER DR, TIPP CITY, OH 45371-1183
(937) 667-7700
(937) 667-5189

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1680
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0869421
OH
01
341701641-01
BWC
OH
Enumeration date
08/10/2005
Last updated
01/03/2016
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