Provider Demographics
NPI:1982923405
Name:BEECHER CHIROPRACTIC & WELLNESS CENTER LLC
Entity type:Organization
Organization Name:BEECHER CHIROPRACTIC & WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:IUVARA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-855-5533
Mailing Address - Street 1:428 BEECHER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4562
Mailing Address - Country:US
Mailing Address - Phone:614-855-5533
Mailing Address - Fax:614-855-5566
Practice Address - Street 1:428 BEECHER RD
Practice Address - Street 2:SUITE B
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-4562
Practice Address - Country:US
Practice Address - Phone:614-855-5533
Practice Address - Fax:614-855-5566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH2113111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0182001Medicaid
OH0182001Medicaid
OHJO4032202Medicare PIN