Provider Demographics
NPI:1972930964
Name:PINNACLE CHIROPRACTIC HEALTH & WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:PINNACLE CHIROPRACTIC HEALTH & WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-618-9152
Mailing Address - Street 1:8900 DARROW RD
Mailing Address - Street 2:H104
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-6800
Mailing Address - Country:US
Mailing Address - Phone:330-963-2273
Mailing Address - Fax:
Practice Address - Street 1:8900 DARROW RD
Practice Address - Street 2:H104
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-6800
Practice Address - Country:US
Practice Address - Phone:330-963-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH206230Medicare PIN