Provider Demographics
NPI:1386863033
Name:TAYLOR WALK-IN CHIROPRACTIC, LTD.
Entity Type:Organization
Organization Name:TAYLOR WALK-IN CHIROPRACTIC, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-241-1528
Mailing Address - Street 1:5350 AIRPORT HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-6813
Mailing Address - Country:US
Mailing Address - Phone:419-382-2225
Mailing Address - Fax:419-382-2226
Practice Address - Street 1:5350 AIRPORT HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-6813
Practice Address - Country:US
Practice Address - Phone:419-382-2225
Practice Address - Fax:419-382-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH949111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty