Healthcare Provider Details

I. General information

NPI: 1396825964
Provider Name (Legal Business Name): CHIROPRACTIC CONCEPTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 02/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5395 N ABBE RD
SHEFFIELD VILLAGE OH
44035-1449
US

IV. Provider business mailing address

5395 N ABBE RD
SHEFFIELD VILLAGE OH
44035-1449
US

V. Phone/Fax

Practice location:
  • Phone: 440-934-2273
  • Fax: 440-934-2274
Mailing address:
  • Phone: 440-934-2273
  • Fax: 440-934-2274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. FELICIA S JONES
Title or Position: OFFICE MANAGER
Credential:
Phone: 440-934-2273