Provider Demographics
NPI:1720284847
Name:ANDERSON HILLS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ANDERSON HILLS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-232-5999
Mailing Address - Street 1:2020 BEECHMONT AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-1696
Mailing Address - Country:US
Mailing Address - Phone:513-232-5999
Mailing Address - Fax:513-232-5899
Practice Address - Street 1:2020 BEECHMONT AVE STE 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-1696
Practice Address - Country:US
Practice Address - Phone:513-232-5999
Practice Address - Fax:513-232-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHGROUP PROVIDER #Medicare ID - Type UnspecifiedAN9360421
OHDOCTOR INDIVIDUAL #Medicare ID - Type UnspecifiedBA4165432