Provider Demographics
NPI:1740610989
Name:SKRZYNECKI CHIROPRACTIC , LLC
Entity type:Organization
Organization Name:SKRZYNECKI CHIROPRACTIC , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SKRZYNECKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-842-1235
Mailing Address - Street 1:3829 WOODLEY RD
Mailing Address - Street 2:SUITE1
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1171
Mailing Address - Country:US
Mailing Address - Phone:419-842-1235
Mailing Address - Fax:419-841-9537
Practice Address - Street 1:3829 WOODLEY RD
Practice Address - Street 2:SUITE1
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1171
Practice Address - Country:US
Practice Address - Phone:419-842-1235
Practice Address - Fax:419-841-9537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1130261QH0100X
MI2301004899261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service