Provider Demographics
NPI:1962426320
Name:RATLIFF, DAVID A (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:RATLIFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:6797 N HIGH ST
Mailing Address - Street 2:STE 120
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2554
Mailing Address - Country:US
Mailing Address - Phone:614-841-0005
Mailing Address - Fax:614-841-0275
Practice Address - Street 1:1150 MORSE RD
Practice Address - Street 2:STE 101
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6327
Practice Address - Country:US
Practice Address - Phone:614-841-0005
Practice Address - Fax:614-841-0275
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH2802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2102932Medicaid
OHU80859Medicare UPIN
OH0899341Medicare ID - Type Unspecified