Provider Demographics
NPI:1902096282
Name:AMERICAN HEALTH CHIROPRACTIC INC
Entity Type:Organization
Organization Name:AMERICAN HEALTH CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CRISCI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-576-6699
Mailing Address - Street 1:1081-A ST RT 28
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150
Mailing Address - Country:US
Mailing Address - Phone:513-576-6699
Mailing Address - Fax:513-576-6452
Practice Address - Street 1:1081-A ST RT 28
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150
Practice Address - Country:US
Practice Address - Phone:513-576-6699
Practice Address - Fax:513-576-6452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2007367Medicaid
OH6205400001Medicare NSC
OH2007367Medicaid