Poland Chiropractic Clinic Inc

LBN: Poland Chiropractic Clinic Inc
Poland Chiropractic Clinic Inc is an health care organization with primary practice located at 44 N Main St , Poland OH 44514-1627. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Poland Chiropractic Clinic Inc can be contacted via phone (330) 757-4029, or through Divito, Thomas A via phone (330) 757-4029.

Contact Information

Primary practice address
44 N Main St Poland OH 44514-1627
Fax: (330) 757-9192
Website:
Authorized official contact:
Name: Divito, Thomas A Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1354 Ohio

Profile Details

NPI number 1316246135
LBN Legal business name Poland Chiropractic Clinic Inc
DBA Doing business as
Authorized official Divito, Thomas A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2011
Last updated Apr 1st, 2011 - about 13 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 1316246135 NPPES
Ohio MEDICAID 0731051

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