Provider Demographics
NPI:1992805642
Name:SILCOX, PAUL LYNN (DC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:LYNN
Last Name:SILCOX
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 1:728 N STONE ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-1535
Mailing Address - Country:US
Mailing Address - Phone:419-334-7600
Mailing Address - Fax:419-334-7640
Practice Address - Street 1:728 N STONE ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-1535
Practice Address - Country:US
Practice Address - Phone:419-334-7600
Practice Address - Fax:419-334-7640
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0778645Medicaid
T33817Medicare UPIN
OHSI0654183Medicare PIN