=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376872309
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL HEALTH CHIROPRACTIC INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2009
-----------------------------------------------------
Last Update Date | 05/06/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9425 OLDE 8 RD SUITE 1
-----------------------------------------------------
City | NORTHFIELD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44067-1944
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-468-2555
-----------------------------------------------------
Fax | 330-468-5225
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9425 OLDE 8 RD SUITE 1
-----------------------------------------------------
City | NORTHFIELD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44067-1944
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-468-2555
-----------------------------------------------------
Fax | 330-468-5225
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. JOHN OLENIK
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 330-468-2555
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 2002
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------