Provider Demographics
NPI:1770701682
Name:ABILITY CHIROPRACTIC INC
Entity type:Organization
Organization Name:ABILITY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-836-9151
Mailing Address - Street 1:4440 PROFESSIONAL PKWY
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9225
Mailing Address - Country:US
Mailing Address - Phone:614-836-9151
Mailing Address - Fax:888-352-8097
Practice Address - Street 1:4440 PROFESSIONAL PKWY
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9225
Practice Address - Country:US
Practice Address - Phone:614-836-9151
Practice Address - Fax:888-352-8097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2023554Medicaid
OH2023554Medicaid
OHSP01171Medicare ID - Type UnspecifiedMEDICARE GROUP