Provider Demographics
NPI:1760576037
Name:AMELIA CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:AMELIA CHIROPRACTIC CENTER INC
Other - Org Name:PINNACLE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-528-7800
Mailing Address - Street 1:463 OHIO PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3722
Mailing Address - Country:US
Mailing Address - Phone:513-528-7800
Mailing Address - Fax:513-528-7810
Practice Address - Street 1:463 OHIO PIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3722
Practice Address - Country:US
Practice Address - Phone:513-528-7800
Practice Address - Fax:513-528-7810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1480261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT30298Medicare UPIN
OHAM9256881Medicare PIN