Twin City Chiropractic Health & Wellness Inc..
Organization Active NPI Chiropractor · Dennison, OH
NPI 1447464862 · NPPES record last updated Dec 13, 2012
Key facts
- NPI
- 1447464862
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3048 (OH)
- Legal business name
- TWIN CITY CHIROPRACTIC HEALTH & WELLNESS INC..
- Practice address
- 205 Grant St
Dennison, OH 44621-1215 - Phone
- (740) 922-2325
- Fax
- (740) 922-9362
- NPI assigned
- May 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew J Worst, D.C.
- Title
- Owner
- Phone
- (740) 922-2325
Practitioners 4
-
Michael Jakubowski, D.C.
-
Andrew J Worst, D.C.
-
Richard B Luyster, P.T.
-
Richard Gregory Roe, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050706000529 | OH | Part B Supplier - Clinic/Group Practice | 0840236386 |
Receives reassigned benefits from 2 practitioners Practice locations: Dennison, OH |
National Provider Directory
Locations
205 Grant St
Dennison, OH 44621
Phone (740) 922-2325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3048 | OH | Yes |
Addresses
Primary practice location
205 Grant St
Dennison, OH 44621-1215
Mailing address
205 Grant St
Dennison, OH 44621-1215
Phone (740) 922-2325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2278262 | Medicaid | OH |
Other providers in Dennison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.