Julie Suzanne Detwiler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2992 Issued in OH

Practice address

8231 Main St
Kinsman, OH 44428-9514

Phone

(330) 876-1111

Fax

(330) 876-1005

NPI assigned

Oct 12, 2005

Last updated

Dec 4, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Julie S. Detwiler DC LLC

  • Chiropractor
  • Kinsman, OH
  • NPI 1922184654
  Authorized official Same address or phone
• Stow-Kent Chiropractic Clinic, Inc.

  • Chiropractor
  • Stow, OH
  • NPI 1356486468
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1932197092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8231 MAIN ST",
            "address_2": "P.O. BOX 393",
            "city": "KINSMAN",
            "state": "OH",
            "postal_code": "444289514",
            "telephone_number": "330-876-1111",
            "fax_number": "330-876-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8231 MAIN ST",
            "city": "KINSMAN",
            "state": "OH",
            "postal_code": "444289514",
            "telephone_number": "330-876-1111",
            "fax_number": "330-876-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "JULIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "000000291058",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2362250",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "450511098027",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS NPI",
            "identifier": "000000291058",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Bedlion, M.D.
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• Joann Dragojevic
• Amanda G Durst, RN
• Richard Grizinski, PHD
• Gail Beatrice Hassler
• Hornbeck Home Renovations Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.