Provider Demographics
NPI:1780833830
Name:CAMBRIDGE CHIROPRACTIC HEALTH CENTER LLC
Entity Type:Organization
Organization Name:CAMBRIDGE CHIROPRACTIC HEALTH CENTER LLC
Other - Org Name:BIRCH CHIROPRACTIC LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDD
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-255-5427
Mailing Address - Street 1:927 WHEELING AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-2340
Mailing Address - Country:US
Mailing Address - Phone:740-255-5427
Mailing Address - Fax:740-255-5441
Practice Address - Street 1:927 WHEELING AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-2340
Practice Address - Country:US
Practice Address - Phone:740-255-5427
Practice Address - Fax:740-255-5441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-13
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3872261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center