Healthcare Provider Details

I. General information

NPI: 1407133937
Provider Name (Legal Business Name): COMPREHENSIVE CHIROPRACTIC CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2011
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 SUNBURY RD SUITE A
DELAWARE OH
43015-9795
US

IV. Provider business mailing address

575 SUNBURY RD SUITE A
DELAWARE OH
43015-9795
US

V. Phone/Fax

Practice location:
  • Phone: 740-369-4349
  • Fax: 740-369-3290
Mailing address:
  • Phone: 740-369-4349
  • Fax: 740-369-3290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NATALIE SNYDER
Title or Position: OFFICE MANAGER
Credential:
Phone: 740-369-4349