Provider Demographics
NPI:1548249691
Name:TALEB, ALEX AHED (DC)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:AHED
Last Name:TALEB
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7345 KINGSGATE WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2453
Mailing Address - Country:US
Mailing Address - Phone:513-777-7666
Mailing Address - Fax:513-755-4990
Practice Address - Street 1:7345 KINGSGATE WAY
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2453
Practice Address - Country:US
Practice Address - Phone:513-777-7666
Practice Address - Fax:513-755-4990
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC2749111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2439561Medicaid
OH2439561Medicaid
U95326Medicare UPIN