Individual
DR. MICHAEL KEVIN MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
25 INWOOD RD, WEST JEFFERSON, OH 43162-1112
(614) 879-5070
(614) 879-5023
Mailing address
25 INWOOD RD, WEST JEFFERSON, OH 43162-1112
(614) 879-5070
(614) 879-5023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119775
ANTHEM BC/BS
—
05
—
0855436
—
OH
01
—
1750
STATE LICENSE #
OH
01
—
44-00105
UNITED HEALTH CARE #
—
Enumeration date
08/12/2005
Last updated
09/18/2014
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