Provider Demographics
NPI:1629225263
Name:PINNACLE CHIROPRACTIC & REHAB OF TWINSBURG, LLC
Entity Type:Organization
Organization Name:PINNACLE CHIROPRACTIC & REHAB OF TWINSBURG, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-963-2273
Mailing Address - Street 1:8900 DARROW RD
Mailing Address - Street 2:STE H103
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087
Mailing Address - Country:US
Mailing Address - Phone:330-963-2273
Mailing Address - Fax:330-963-2275
Practice Address - Street 1:8900 DARROW RD
Practice Address - Street 2:STE H103
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087
Practice Address - Country:US
Practice Address - Phone:330-963-2273
Practice Address - Fax:330-963-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3924111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty