Organization
SIDNEY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD R. SCHUBERT JR. D.C. (CHIROPRACTOR)
(937) 492-4681
Entity
Organization
Contact information
Practice address
1640 GLEASON ST, SIDNEY, OH 45365-3561
(937) 492-4681
(937) 492-7200
Mailing address
1640 GLEASON ST, SIDNEY, OH 45365-3561
(937) 492-4681
(937) 492-7200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000480195
ANTHEM PIN
OH
05
—
2432228
—
OH
01
—
SI9356751
MEDICARE GROUP
OH
Enumeration date
03/28/2007
Last updated
08/22/2020
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