Provider Demographics
NPI:1083744072
Name:AMERICAN HEALTH CENTERS OF CHESAPEAKE, INC.
Entity Type:Organization
Organization Name:AMERICAN HEALTH CENTERS OF CHESAPEAKE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-646-7321
Mailing Address - Street 1:103 THELMA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-9203
Mailing Address - Country:US
Mailing Address - Phone:740-646-7321
Mailing Address - Fax:740-646-7212
Practice Address - Street 1:733 3RD AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-1045
Practice Address - Country:US
Practice Address - Phone:740-867-5352
Practice Address - Fax:740-867-5359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty