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WILLOUGHBY CHIROPRACTIC CENTER INC. NPI 1891210175


NPI Information

NPI: 1891210175
Provider Name: WILLOUGHBY CHIROPRACTIC CENTER, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 36D0712050

Address:
4045 ERIE ST
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 942-2225
Get Directions

WILLOUGHBY CHIROPRACTIC CENTER, INC. is a chiropractor in Willoughby, 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. WILLOUGHBY CHIROPRACTIC CENTER, INC. NPI is 1891210175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4045 ERIE ST
WILLOUGHBY, OH
ZIP 44094-804
Phone: (440) 942-2225
Fax: (440) 942-0372

The provider's authorized official is Patrick Mclaughlin .
The authorized official title is Owner/president and has the following contact phone number (440) 942-2225.

The CLIA number assigned to this NPI record is 36D0712050 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 8/8/2017.


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
1111N00000XChiropractorDC2597OHIOYes

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
12076015MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.