Provider Demographics
NPI:1710039987
Name:JOHN PAUL MUSSER, INC.
Entity type:Organization
Organization Name:JOHN PAUL MUSSER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MUSSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-936-8200
Mailing Address - Street 1:9879 MONTGOMERY ROAD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6424
Mailing Address - Country:US
Mailing Address - Phone:513-936-8200
Mailing Address - Fax:513-936-8212
Practice Address - Street 1:9879 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-6424
Practice Address - Country:US
Practice Address - Phone:513-936-8200
Practice Address - Fax:513-936-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty