Provider Demographics
NPI:1134392673
Name:ESSENTIALS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ESSENTIALS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:ESLICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-479-9670
Mailing Address - Street 1:2401 WHIPPLE AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-1513
Mailing Address - Country:US
Mailing Address - Phone:330-479-9670
Mailing Address - Fax:330-479-9671
Practice Address - Street 1:2401 WHIPPLE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-1513
Practice Address - Country:US
Practice Address - Phone:330-479-9670
Practice Address - Fax:330-479-9671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty