Provider Demographics
NPI:1124048558
Name:WORST, ANDREW J (DC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:WORST
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 1:205 GRANT ST.
Mailing Address - Street 2:
Mailing Address - City:DENNISON
Mailing Address - State:OH
Mailing Address - Zip Code:44621
Mailing Address - Country:US
Mailing Address - Phone:740-922-2325
Mailing Address - Fax:740-922-9362
Practice Address - Street 1:205 GRANT ST
Practice Address - Street 2:
Practice Address - City:DENNISON
Practice Address - State:OH
Practice Address - Zip Code:44621-1215
Practice Address - Country:US
Practice Address - Phone:740-922-2325
Practice Address - Fax:740-922-9362
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3048111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor