Provider Demographics
NPI:1912029802
Name:AMERICAN CHIROPRACTIC & REHABILITATION
Entity Type:Organization
Organization Name:AMERICAN CHIROPRACTIC & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BATTAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-376-0201
Mailing Address - Street 1:388 S MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1064
Mailing Address - Country:US
Mailing Address - Phone:330-376-0201
Mailing Address - Fax:330-376-3771
Practice Address - Street 1:388 S MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1064
Practice Address - Country:US
Practice Address - Phone:330-376-0201
Practice Address - Fax:330-376-3771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1019111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0926949Medicaid
OHAM9214801Medicare ID - Type Unspecified
OHT48221Medicare UPIN