Fallen Timbers Chiropractic, LLC

Organization Active NPI Sports Physician Chiropractor · Whitehouse, OH

NPI 1043372485 · NPPES record last updated Apr 13, 2012

Key facts

NPI
1043372485
Entity type
Organization (NPI type 2)
Primary specialty
Sports Physician Chiropractor 111NS0005X
License
1510 (OH)
Legal business name
FALLEN TIMBERS CHIROPRACTIC, LLC
Practice address
6901 Providence St
Whitehouse, OH 43571-9273
Phone
(419) 877-9919
Fax
(419) 877-9977
NPI assigned
Dec 14, 2006
Organization subpart
No

Authorized official

Name
Dr. Wayne F. Koskinen, DC
Title
Owner
Phone
(419) 877-9919

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

6901 Providence St
Whitehouse, OH 43571
Phone (419) 877-9919

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111NS0005X 1510 OH Yes

Addresses

Primary practice location

6901 Providence St
Whitehouse, OH 43571-9273

Mailing address

6901 Providence St
Whitehouse, OH 43571-9273
Phone (419) 877-9919

Other providers in Whitehouse, OH

All providers in Whitehouse, OH · Sports Physician Chiropractor in Ohio

Sources for this page

Verify at the official NPI Registry.