Provider Demographics
NPI:1922658434
Name:TUBBS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:TUBBS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-388-1915
Mailing Address - Street 1:42 LAKE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-1600
Mailing Address - Country:US
Mailing Address - Phone:330-388-1915
Mailing Address - Fax:
Practice Address - Street 1:911 GRAHAM RD STE 66
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1163
Practice Address - Country:US
Practice Address - Phone:330-945-4700
Practice Address - Fax:330-945-5876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty