Provider Demographics
NPI:1194728071
Name:PUSKARICH, DENNIS JOSIP (DC)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JOSIP
Last Name:PUSKARICH
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 1:623 PARK MEADOW RD STE F
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2876
Mailing Address - Country:US
Mailing Address - Phone:740-244-4177
Mailing Address - Fax:614-573-7641
Practice Address - Street 1:623 PARK MEADOW RD STE F
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2876
Practice Address - Country:US
Practice Address - Phone:614-505-3510
Practice Address - Fax:614-573-7641
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPU4155541Medicare ID - Type Unspecified
OHV04657Medicare UPIN