Healthcare Provider Details

I. General information

NPI: 1689170961
Provider Name (Legal Business Name): SPINAL CARE CHIROPRACTIC CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 04/16/2021
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16136 STATE ROUTE 170
EAST LIVERPOOL OH
43920-9099
US

IV. Provider business mailing address

16470 SAINT CLAIR AVE
EAST LIVERPOOL OH
43920-9124
US

V. Phone/Fax

Practice location:
  • Phone: 724-622-0793
  • Fax: 330-385-8741
Mailing address:
  • Phone: 724-622-0793
  • Fax: 330-385-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY A BABLE
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 724-622-0793