Provider Demographics
NPI:1053488627
Name:WILLIAM MICHAEL MASTERSON BS DC INC
Entity Type:Organization
Organization Name:WILLIAM MICHAEL MASTERSON BS DC INC
Other - Org Name:STRONGVILLE CHIROPRACTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MASTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-238-4442
Mailing Address - Street 1:16000 PEARL RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:STRONGVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6094
Mailing Address - Country:US
Mailing Address - Phone:440-238-4442
Mailing Address - Fax:440-238-0958
Practice Address - Street 1:16000 PEARL RD
Practice Address - Street 2:SUITE 206
Practice Address - City:STRONGVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6094
Practice Address - Country:US
Practice Address - Phone:440-238-4442
Practice Address - Fax:440-238-0958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH709111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty