Provider Demographics
NPI:1912175795
Name:MCCARTY CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:MCCARTY CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-425-1020
Mailing Address - Street 1:PO BOX 865
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45839-0865
Mailing Address - Country:US
Mailing Address - Phone:419-425-1020
Mailing Address - Fax:419-423-6921
Practice Address - Street 1:16380 E STATE ROUTE 12
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8716
Practice Address - Country:US
Practice Address - Phone:419-425-1020
Practice Address - Fax:419-423-6921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4030471Medicare PIN
U83590Medicare UPIN