Provider Demographics
NPI:1790157527
Name:ASCENT CHIROPRACTIC & WELLNESS L.L.C.
Entity Type:Organization
Organization Name:ASCENT CHIROPRACTIC & WELLNESS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-482-1221
Mailing Address - Street 1:21245 LORAIN RD STE 111
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2138
Mailing Address - Country:US
Mailing Address - Phone:440-482-1221
Mailing Address - Fax:
Practice Address - Street 1:21245 LORAIN RD STE 111
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-2138
Practice Address - Country:US
Practice Address - Phone:440-482-1221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty