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UNIVERSAL TREATMENT AND RECOVERY CENTER LLC NPI 1013011238


NPI Information

NPI: 1013011238
Provider Name: UNIVERSAL TREATMENT AND RECOVERY CENTER LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
42553 NORTH RIDGE ROAD
SUITE 8
ELYRIA, OH
ZIP 44035
Phone: (440) 324-4488
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UNIVERSAL TREATMENT AND RECOVERY CENTER LLC is a chiropractor in Elyria, OH. The provider is 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. UNIVERSAL TREATMENT AND RECOVERY CENTER LLC NPI is 1013011238. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42553 NORTH RIDGE ROAD
SUITE 8
ELYRIA, OH
ZIP 44035
Phone: (440) 324-4488
Fax: (440) 324-2465

The provider's authorized official is Gary Allan Van Skyhock .
The authorized official title is Member and has the following contact phone number (440) 324-4488.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 1/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor3541OHIONo
2207Q00000XFamily Medicine34004082OHIONo
3111NR0400XChiropractorRehabilitationNo
4111N00000XChiropractor1467OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19367671MEDICARE PINOHIO
22948369MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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