| Divine Chiropractic And Wellness Center | |
|
629 S Ohio Ave, Columbus, OH 43205-2743 | |
| (614) 477-8140 | |
| (614) 258-3811 |
| Full Name | Divine Chiropractic And Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 629 S Ohio Ave, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033359070 | NPI | - | NPPES |
| 2805503 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3769 (Ohio) | Primary |
| Provider Name | Deddeh Antoinette Korvah-reed |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376692343 PECOS PAC ID: 8729177837 Enrollment ID: I20071127000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Chiropractic And Wellness Center 67 Parsons Ave, Columbus, OH 43215-3978 Ph: (614) 222-0019 | Divine Chiropractic And Wellness Center 629 S Ohio Ave, Columbus, OH 43205-2743 Ph: (614) 477-8140 |
Dr. Thomas Anthony Wieland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1908 Bethel Rd, Columbus, OH 43220 Phone: 614-326-3374 Fax: 614-326-3378 | |
Dr. Brett Christopher Stefan, D.C., MS Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2879 E Dublin Granville Rd, Columbus, OH 43231 Phone: 614-392-2732 Fax: 614-392-2792 | |
Dr. Peter J. Manz, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6104 Huntley Rd, Columbus, OH 43229 Phone: 614-847-9667 Fax: 614-847-9688 | |
Andrew Jason Granger, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2115 Polaris Pkwy, Columbus, OH 43240 Phone: 614-888-3500 | |
Dr. David T Ryan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6040 Cleveland Ave, Columbus, OH 43231 Phone: 614-890-7952 Fax: 614-890-8960 | |
Dr. David Robert Phillips, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 948a E Broad St, Columbus, OH 43205 Phone: 614-251-0222 Fax: 614-251-0258 |