Individual
DR. LOREN E MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1460 JEFFERSON STREET, SUITE A, GREENFIELD, OH 45123-0011
(937) 981-1992
(937) 981-1991
Mailing address
1113 NORTHVIEW DR, HILLSBORO, OH 45133-7637
(937) 393-9609
(937) 393-9606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
005741
MO
111N00000X
Chiropractor
Primary
1539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000475900
ANTHEM BC/BS
OH
01
—
9355461
MEDICARE ID- GROUP NUMBER: GREENFIELD CHIROPRACTIC
OH
Enumeration date
06/19/2006
Last updated
08/14/2013
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