POLAND CHIROPRACTIC CLINIC INC NPI 1316246135

NPI Information

POLAND CHIROPRACTIC CLINIC INC is a chiropractor in Poland, 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. POLAND CHIROPRACTIC CLINIC INC NPI is 1316246135. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

44 N MAIN ST
POLAND, OH
ZIP 44514-627
Phone: (330) 757-4029
Fax: (330) 757-9192

The provider's authorized official is Thomas A Divito .
The authorized official title is Owner and has the following contact phone number (330) 757-4029.

The enumeration date for this NPI number is 3/18/2011 and was last updated on 4/1/2011.

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:

Other Identifiers

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

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