Provider Demographics
NPI:1427255249
Name:LOVE CHIROPRACTIC CARE INC.
Entity type:Organization
Organization Name:LOVE CHIROPRACTIC CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MAX
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:1614-871-8400
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:3590 HOOVER ROAD
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-0577
Mailing Address - Country:US
Mailing Address - Phone:614-871-8400
Mailing Address - Fax:614-871-8897
Practice Address - Street 1:3590 HOOVER ROAD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-0577
Practice Address - Country:US
Practice Address - Phone:614-871-8400
Practice Address - Fax:614-871-8897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X
OH3709111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9373871Medicare UPIN
OH0665192Medicare ID - Type Unspecified