Provider Demographics
NPI:1811207764
Name:ON DEMAND CHIROPRACTIC
Entity Type:Organization
Organization Name:ON DEMAND CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:IVANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-270-3660
Mailing Address - Street 1:102 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:AUSTINTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-3963
Mailing Address - Country:US
Mailing Address - Phone:330-270-3660
Mailing Address - Fax:866-661-8881
Practice Address - Street 1:102 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-3963
Practice Address - Country:US
Practice Address - Phone:330-270-3660
Practice Address - Fax:866-661-8881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOVE AND FAITH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty