Provider Demographics
NPI:1740408863
Name:POSITIVE OUTCOMES FAMILY CHIROPRACTIC CENTER,LLC
Entity Type:Organization
Organization Name:POSITIVE OUTCOMES FAMILY CHIROPRACTIC CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:TOBIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-328-2828
Mailing Address - Street 1:11295 STONECREEK DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9138
Mailing Address - Country:US
Mailing Address - Phone:614-328-2828
Mailing Address - Fax:614-328-3288
Practice Address - Street 1:11295 STONECREEK DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9138
Practice Address - Country:US
Practice Address - Phone:614-328-2828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3282111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty