Valentine Spine & Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VALENTINE SPINE & WELLNESS CENTER LLC

Practice address

4015 Executive Park Dr Ste 110
Sharonville, OH 45241-2022

Phone

(513) 268-5227

Fax

(812) 519-1708

NPI assigned

Jan 31, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brian L Young

Title

Member

Phone

(513) 673-1597

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1528711595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 MAXWELL DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404626",
            "telephone_number": "513-673-1597",
            "fax_number": "812-519-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 EXECUTIVE PARK DR STE 110",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452412022",
            "telephone_number": "513-268-5227",
            "fax_number": "812-519-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINE SPINE & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-09-14",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "513-673-1597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Sharonville, OH
• Providers in Sharonville, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.