Provider Demographics
NPI:1992945968
Name:CLINTONVILLE CHIROPRACTIC
Entity type:Organization
Organization Name:CLINTONVILLE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:E S
Authorized Official - Last Name:SEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-446-7979
Mailing Address - Street 1:3137 FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2214
Mailing Address - Country:US
Mailing Address - Phone:614-446-7979
Mailing Address - Fax:
Practice Address - Street 1:3137 FAIR AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2214
Practice Address - Country:US
Practice Address - Phone:614-446-7979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3894111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty