Provider Demographics
NPI:1457728537
Name:RUBBER CITY CHIROPRACTIC AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:RUBBER CITY CHIROPRACTIC AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORGENSTERN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-687-1653
Mailing Address - Street 1:1033 E TURKEYFOOT LAKE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-7200
Mailing Address - Country:US
Mailing Address - Phone:330-687-1653
Mailing Address - Fax:
Practice Address - Street 1:2177 STONEHENGE CIR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-5507
Practice Address - Country:US
Practice Address - Phone:330-687-1653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4330111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty