Provider Demographics
NPI:1285700278
Name:LOVELAND CHIROPRACTIC OFFICES, INC.
Entity type:Organization
Organization Name:LOVELAND CHIROPRACTIC OFFICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:KEMMET
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-683-1052
Mailing Address - Street 1:215 LOVELAND MADEIRA RD
Mailing Address - Street 2:PO BOX 146
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-2511
Mailing Address - Country:US
Mailing Address - Phone:513-683-1052
Mailing Address - Fax:513-683-6226
Practice Address - Street 1:443 W LOVELAND AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140
Practice Address - Country:US
Practice Address - Phone:513-683-1052
Practice Address - Fax:513-683-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLO9925401Medicare PIN