Chardon Family Chiropractic Clinic Inc.

LBN: Chardon Family Chiropractic Clinic Inc.
Chardon Family Chiropractic Clinic Inc. is an health care organization with primary practice located at 102 East Park Street , Chardon OH 44024-1237. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Chardon Family Chiropractic Clinic Inc. can be contacted via phone (440) 286-2225, or through Kotheimer, Barry J via phone (440) 286-2225.

Contact Information

Primary practice address
102 East Park Street Chardon OH 44024-1237
Phone: (440) 286-2225
Fax: (440) 286-3058
Website:
Map and Directions
Authorized official contact:
Name: Kotheimer, Barry J Doctor of Chiropractic (DC)
Phone: (440) 286-2225

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1511 Ohio

Profile Details

NPI number 1689858169
LBN Legal business name Chardon Family Chiropractic Clinic Inc.
DBA Doing business as
Authorized official Kotheimer, Barry J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Jan 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689858169 NPPES
Ohio MEDICAID 0759479

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