Provider Demographics
NPI:1508163197
Name:CORE CHIROPRACTIC AND REHABILITATION
Entity Type:Organization
Organization Name:CORE CHIROPRACTIC AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GROVES
Authorized Official - Suffix:
Authorized Official - Credentials:CPC CPCH
Authorized Official - Phone:440-352-4321
Mailing Address - Street 1:7050 BIDDULPH RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:OH
Mailing Address - Zip Code:44144-3312
Mailing Address - Country:US
Mailing Address - Phone:216-749-7888
Mailing Address - Fax:440-749-6660
Practice Address - Street 1:7050 BIDDULPH RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-3312
Practice Address - Country:US
Practice Address - Phone:216-749-7888
Practice Address - Fax:440-749-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty