Provider Demographics
NPI:1548432826
Name:STRAIGHT-UP CHIROPRACTIC
Entity Type:Organization
Organization Name:STRAIGHT-UP CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MERRICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-764-9449
Mailing Address - Street 1:283 E REAGAN PKWY
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-1298
Mailing Address - Country:US
Mailing Address - Phone:330-764-9449
Mailing Address - Fax:
Practice Address - Street 1:283 E REAGAN PKWY
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-1298
Practice Address - Country:US
Practice Address - Phone:330-764-9449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1548299068OtherNPI INDIVIDUAL
OH1548299068OtherNPI INDIVIDUAL