Organization
RICH CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD RICH D.C. (PRESIDENT)
(419) 855-7776
Entity
Organization
Contact information
Practice address
23285 STATE ROUTE 51 W, GENOA, OH 43430-1042
(419) 855-7776
Mailing address
23285 STATE ROUTE 51 W, GENOA, OH 43430-1042
(419) 855-7776
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1375
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417989575
INDIVIDUAL NPI
OH
01
—
350033140
RAILROAD MEDICARE
OH
Enumeration date
01/27/2012
Last updated
01/27/2012
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