Provider Demographics
NPI:1467229740
Name:CELINA CHIROPRACTIC
Entity Type:Organization
Organization Name:CELINA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VANARSDEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-733-2824
Mailing Address - Street 1:204 PERSHING ST
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-2722
Mailing Address - Country:US
Mailing Address - Phone:419-733-2824
Mailing Address - Fax:
Practice Address - Street 1:909 N MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-1010
Practice Address - Country:US
Practice Address - Phone:419-733-2824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty