Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 1770 | OH |
NPI | 1326258930 |
---|---|
Provider Name | Dr. Rob Jay Cartwright |
First Address | Fairfield, OH 45014-5129 |
Second Address | Fairfield, OH 45014-5129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |