Healthcare Provider Details
I. General information
NPI: 1033207501
Provider Name (Legal Business Name): RESULTS CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10595 STATE ROUTE 550
BARLOW OH
45712
US
IV. Provider business mailing address
PO BOX 235
BEVERLY OH
45715-0235
US
V. Phone/Fax
- Phone: 740-678-2700
- Fax: 740-678-2777
- Phone: 740-678-2700
- Fax: 740-678-2777
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2989 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2931 |
| License Number State | OH |
VIII. Authorized Official
Name: DR.
LETTY
URBAN
Title or Position: CHIROPRACTOC
Credential: D.C.
Phone: 740-678-2700