Provider Demographics
NPI:1104966969
Name:ROBERT E. BRIGGS D.C. INC.
Entity type:Organization
Organization Name:ROBERT E. BRIGGS D.C. INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-326-9355
Mailing Address - Street 1:780 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1900
Mailing Address - Country:US
Mailing Address - Phone:614-326-9355
Mailing Address - Fax:614-326-4063
Practice Address - Street 1:780 BETHEL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1900
Practice Address - Country:US
Practice Address - Phone:614-326-9355
Practice Address - Fax:614-326-4063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2079496Medicaid
OHU71636Medicare UPIN
OH2079496Medicaid