Healthcare Provider Details

I. General information

NPI: 1083744072
Provider Name (Legal Business Name): AMERICAN HEALTH CENTERS OF CHESAPEAKE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 03/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 3RD AVE
CHESAPEAKE OH
45619-1045
US

IV. Provider business mailing address

103 THELMA AVE
SOUTH POINT OH
45680-9203
US

V. Phone/Fax

Practice location:
  • Phone: 740-867-5352
  • Fax: 740-867-5359
Mailing address:
  • Phone: 740-646-7321
  • Fax: 740-646-7212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. HOLLY D LAWSON
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 740-646-7321