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NPI Code Detail

MEDICARE: ESSENTIALS CHIROPRACTIC LLC

MEDICARE: ESSENTIALS CHIROPRACTIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1134392673
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENTIALS CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 2401 WHIPPLE AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-1513
Country : US
Telephone Number : 330-479-9670
Fax Number : 330-479-9671
Provider Business Practice Location Address
First Line : 2401 WHIPPLE AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-1513
Country : US
Telephone Number : 330-479-9670
Fax Number : 330-479-9671
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. KATIE BROOKE ESLICH
Credential : D.C.
Telephone Number : 330-479-9670
Provider Enumeration Date : 04/04/2008
Last Update Date : 04/04/2008

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Directions to “ESSENTIALS CHIROPRACTIC LLC ” Practice Location

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