Organization
YOUNG CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THRESA MARIE YOUNG DC (CEO)
(419) 492-2129
Entity
Organization
Contact information
Practice address
201S KIBLER ST, NEW WASHINGTON, OH 44854
(419) 492-2129
(419) 492-3344
Mailing address
PO BOX 325, NEW WASHINGTON, OH 44854
(419) 492-2129
(419) 492-3344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000131591
ANTHEM BC & BS
—
05
—
0867736
—
OH
01
—
282726456002
MEDICAL MUTUAL OF OHIO
—
Enumeration date
02/26/2007
Last updated
08/22/2020
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