Irvine, Charles Bruce

Irvine, Charles Bruce is an individual health care provider with primary practice located at 1219 County Line Road Suite C, Westerville OH 43081-6001. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Irvine, Charles Bruce can be contacted via phone (614) 839-2225.

Contact Information

Primary practice address
1219 County Line Road Suite C Westerville OH 43081-6001
Phone: (614) 839-2225
Fax: (614) 891-8875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2728 Ohio

Profile Details

NPI number 1912059528
LBN Legal business name Irvine, Charles Bruce
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Oct 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912059528 NPPES
Ohio Other 000000122733 ANTHEM
Ohio MEDICAID 2255-018 ANTHEM

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