Healthcare Provider Details

I. General information

NPI: 1902071723
Provider Name (Legal Business Name): STERLING CHIROPRACTIC CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2008
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13078 SEVILLE RD
STERLING OH
44276-9611
US

IV. Provider business mailing address

13078 SEVILLE RD
STERLING OH
44276-9611
US

V. Phone/Fax

Practice location:
  • Phone: 330-939-3191
  • Fax: 330-939-1101
Mailing address:
  • Phone: 330-939-3191
  • Fax: 330-939-1101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3005
License Number StateOH

VIII. Authorized Official

Name: DR. KRISTEN D. EASH
Title or Position: OWNER
Credential: D.C.
Phone: 330-939-3191