Provider Demographics
NPI:1518672054
Name:ABSOLUTE HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:A
Authorized Official - Last Name:VAN SKYHOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:231-944-0740
Mailing Address - Street 1:42553 N RIDGE RD STE 8
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1046
Mailing Address - Country:US
Mailing Address - Phone:144-032-4448
Mailing Address - Fax:440-324-2465
Practice Address - Street 1:42553 N RIDGE RD STE 8
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-1046
Practice Address - Country:US
Practice Address - Phone:144-032-4448
Practice Address - Fax:440-324-2465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty