Individual
DR. CHARLES BRUCE IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1219 COUNTY LINE ROAD, SUITE C, WESTERVILLE, OH 43081-6001
(614) 839-2225
(614) 891-8875
Mailing address
1219 COUNTY LINE ROAD, SUITE C, WESTERVILLE, OH 43081-6001
(614) 839-2225
(614) 891-8875
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2728
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000122733
ANTHEM
OH
05
—
2255-018
—
OH
Enumeration date
01/17/2007
Last updated
10/15/2019
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