Provider Demographics
NPI:1063440741
Name:HUFFMAN, REX A (DC)
Entity type:Individual
Prefix:DR
First Name:REX
Middle Name:A
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 N HIGH ST STE A
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-8501
Mailing Address - Country:US
Mailing Address - Phone:937-402-4203
Mailing Address - Fax:937-402-4206
Practice Address - Street 1:902 N HIGH ST STE A
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-8501
Practice Address - Country:US
Practice Address - Phone:937-402-4203
Practice Address - Fax:937-402-4206
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3390111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000505568OtherANTHEM BCBS
OH2390452Medicaid
OHU94496Medicare UPIN
OH4103203Medicare PIN