Provider Demographics
NPI:1043074867
Name:CHIROPRACTIC CENTER OF GARRETTSVILLE
Entity Type:Organization
Organization Name:CHIROPRACTIC CENTER OF GARRETTSVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-527-5606
Mailing Address - Street 1:10697 FREEDOM ST
Mailing Address - Street 2:
Mailing Address - City:GARRETTSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44231-1130
Mailing Address - Country:US
Mailing Address - Phone:330-527-5606
Mailing Address - Fax:330-527-5608
Practice Address - Street 1:10697 FREEDOM ST
Practice Address - Street 2:
Practice Address - City:GARRETTSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44231-1130
Practice Address - Country:US
Practice Address - Phone:330-527-5606
Practice Address - Fax:330-527-5608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center