Provider Demographics
NPI:1558411801
Name:VARGO HEALTH SOLUTIONS, INC.
Entity Type:Organization
Organization Name:VARGO HEALTH SOLUTIONS, INC.
Other - Org Name:VARGO CHIROPRACTIC AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JULIUS
Authorized Official - Last Name:VARGO
Authorized Official - Suffix:
Authorized Official - Credentials:DC DACRB CSCS
Authorized Official - Phone:330-478-2255
Mailing Address - Street 1:2424 WHIPPLE AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-1514
Mailing Address - Country:US
Mailing Address - Phone:330-478-2255
Mailing Address - Fax:330-478-0505
Practice Address - Street 1:2424 WHIPPLE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-1514
Practice Address - Country:US
Practice Address - Phone:330-478-2255
Practice Address - Fax:330-478-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHVA9350661Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
OHU61668Medicare UPIN