Nathan Phillips, DC
Chiropractor in Sandusky, OH. Individual provider (NPI-1).
NPI number1639799299
StatusActive
Last updated in NPPESApr 23, 2020
Details
- NPI
- 1639799299
- Entity type
- Individual (NPI-1)
- Name
- Nathan Phillips
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2020
- Certification date
- Apr 23, 2020
- Last updated
- Apr 23, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC-04963 | OH | Yes |
Practice location
3703 Columbus AveSandusky, OH 44870-5719
Phone 419-625-8085 · Fax 419-625-6004
Mailing address
3703 Columbus AveSandusky, OH 44870-5719
Phone 419-625-8085 · Fax 419-625-6004
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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