Provider Demographics
NPI:1629258959
Name:THOMLYNN CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:THOMLYNN CHIROPRACTIC INC.
Other - Org Name:SYLVANIA CHIROPRACTIC AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:PIERZCHALA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-841-3273
Mailing Address - Street 1:5725 FOX HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-4216
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7135 SYLVANIA AVE
Practice Address - Street 2:BLDG 1-B
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-5510
Practice Address - Country:US
Practice Address - Phone:419-841-3273
Practice Address - Fax:419-841-0274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-03
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1343111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2187897Medicaid
OH2187897Medicaid