Healthcare Provider Details

I. General information

NPI: 1699002303
Provider Name (Legal Business Name): SKRZYNECKI CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 11/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 MONROE ST SUITE 8
TOLEDO OH
43623-3197
US

IV. Provider business mailing address

5201 MONROE ST SUITE 8
TOLEDO OH
43623-3197
US

V. Phone/Fax

Practice location:
  • Phone: 419-842-1235
  • Fax: 419-842-1189
Mailing address:
  • Phone: 419-842-1235
  • Fax: 419-842-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number1130
License Number StateOH

VIII. Authorized Official

Name: DR. DEBRA SKZYNECKI
Title or Position: PRESIDENT
Credential: D.C.
Phone: 419-842-1235