Provider Demographics
NPI:1780637892
Name:FRONTIER CHIROPRACTIC
Entity Type:Organization
Organization Name:FRONTIER CHIROPRACTIC
Other - Org Name:CHIROPRACTIC FIRST OF ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:ZINK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-821-2464
Mailing Address - Street 1:1420 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-3615
Mailing Address - Country:US
Mailing Address - Phone:330-821-2464
Mailing Address - Fax:330-821-5226
Practice Address - Street 1:1420 W STATE ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-3615
Practice Address - Country:US
Practice Address - Phone:330-821-2464
Practice Address - Fax:330-821-5226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty