Provider Demographics
NPI:1588726467
Name:KOHNER, LINCOLN HOWE (DC)
Entity type:Individual
Prefix:
First Name:LINCOLN
Middle Name:HOWE
Last Name:KOHNER
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 1:4376 BOWEN RD
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9705
Mailing Address - Country:US
Mailing Address - Phone:614-834-0995
Mailing Address - Fax:
Practice Address - Street 1:1434 COLLINS RD NW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8815
Practice Address - Country:US
Practice Address - Phone:740-689-9355
Practice Address - Fax:740-689-9491
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2374111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2323435Medicaid
OH2323435Medicaid