Todd Davis, D.C.
Individual provider Active NPI Chiropractor · Minerva, OH
NPI 1093734550 · NPPES record last updated Jan 27, 2012
Key facts
- NPI
- 1093734550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2531 (OH)
- Practice address
- 200 W Lincolnway
Minerva, OH 44657-1465 - Phone
- (330) 868-4452
- Fax
- (330) 868-6105
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2531 | OH | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2531 | OH | Yes |
Addresses
Primary practice location
200 W Lincolnway
Minerva, OH 44657-1465
Mailing address
200 W Lincolnway
Minerva, OH 44657-1465
Phone (330) 868-4452
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2033258 | Medicaid | OH |
Other providers in Minerva, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.