Provider Demographics
NPI:1659551109
Name:DISCOVER CHIRO INC
Entity Type:Organization
Organization Name:DISCOVER CHIRO INC
Other - Org Name:DISCOVER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR./OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-695-4936
Mailing Address - Street 1:67343 WARNOCK ST CLAIRSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-8433
Mailing Address - Country:US
Mailing Address - Phone:740-695-4936
Mailing Address - Fax:
Practice Address - Street 1:67343 WARNOCK ST CLAIRSVILLE RD
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8433
Practice Address - Country:US
Practice Address - Phone:740-695-4936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2960111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDI4024841OtherMEDICARE PTAN