Provider Demographics
NPI:1932300704
Name:ELIA ACUNA DC LLP
Entity Type:Organization
Organization Name:ELIA ACUNA DC LLP
Other - Org Name:ACHIEVE HEALTH CHIROPRACTIC AND CLINICAL NUTRITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACUNA-TINDALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-740-3099
Mailing Address - Street 1:P.O. BOX 628
Mailing Address - Street 2:111 E. INDIANA AVE.
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-0628
Mailing Address - Country:US
Mailing Address - Phone:419-740-3099
Mailing Address - Fax:419-740-3095
Practice Address - Street 1:111 E. INDIANA AVE.
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-0628
Practice Address - Country:US
Practice Address - Phone:419-740-3099
Practice Address - Fax:419-740-3095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950E016250OtherBLUE CROSS BLUE SHIELD
MIT33063Medicare UPIN