Brown Chiropractic, LLC
Organization Active NPI Chiropractor · Versailles, OH
NPI 1861933962 · NPPES record last updated Mar 9, 2017
Key facts
- NPI
- 1861933962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4485 (OH)
- Legal business name
- BROWN CHIROPRACTIC, LLC
- Practice address
- 27 E Main St
Versailles, OH 45380-1517 - Phone
- (937) 526-3737
- Fax
- (937) 526-3737
- NPI assigned
- Mar 9, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Zachary Brown, D.C.
- Title
- Member
- Phone
- (937) 526-3737
Practitioners 2
-
Zachary Brown, D.C.
-
Sarah L Cain, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170405001837 | OH | Part B Supplier - Clinic/Group Practice | 1254617269 |
Receives reassigned benefits from 1 practitioner Practice locations: Versailles, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4485 | OH | Yes |
Addresses
Primary practice location
27 E Main St
Versailles, OH 45380-1517
Mailing address
PO Box 27
Versailles, OH 45380-0027
Phone (937) 526-3737
Other providers in Versailles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2017. 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.