Individual provider · Type 1 NPI
Dustin J. Detrick, DC, L.C.P.
Chiropractor · Fort Loramie, OH
NPI number
1699840512
Active
Practice location
406 South Main Street
Fort Loramie, OH 45845
Fax (937) 420-4001
Mailing address
21 Miami Street
Fort Loramie, OH 45845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2482 (OH) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
Other chiropractor providers in Fort Loramie
About NPI 1699840512
Dustin J. Detrick, DC, L.C.P.'s National Provider Identifier is 1699840512, issued on Nov 24, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Loramie, OH. The record was last updated on Jul 9, 2007.