Healthcare Provider Details

I. General information

NPI: 1740308303
Provider Name (Legal Business Name): MICHAEL ANTHONY TURKALI CHIROPRACTOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MICHAEL ANTHONY TURKALI CHIROPRACTOR

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1459 E COUNTY LINE RD
MINERAL RIDGE OH
44440-9553
US

IV. Provider business mailing address

1459 E COUNTY LINE RD
MINERAL RIDGE OH
44440-9553
US

V. Phone/Fax

Practice location:
  • Phone: 330-505-9933
  • Fax: 330-505-9944
Mailing address:
  • Phone: 330-505-9933
  • Fax: 330-505-9944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1650
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: