Provider Demographics
NPI:1679966147
Name:MINSTER CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:MINSTER CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR / OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUNNI
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:LOMNICKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-628-3004
Mailing Address - Street 1:12 EAGLE DR STE A
Mailing Address - Street 2:
Mailing Address - City:MINSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45865-9545
Mailing Address - Country:US
Mailing Address - Phone:419-628-3004
Mailing Address - Fax:419-628-3506
Practice Address - Street 1:12 EAGLE DR STE A
Practice Address - Street 2:
Practice Address - City:MINSTER
Practice Address - State:OH
Practice Address - Zip Code:45865-9545
Practice Address - Country:US
Practice Address - Phone:419-628-3004
Practice Address - Fax:419-628-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty