Provider Demographics
NPI:1952594939
Name:FALL CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:FALL CHIROPRACTIC, INC.
Other - Org Name:MULTICARE PHYSICIANS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:FALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-432-7600
Mailing Address - Street 1:1936 E. WHEELING AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725
Mailing Address - Country:US
Mailing Address - Phone:740-432-7600
Mailing Address - Fax:
Practice Address - Street 1:1936 E. WHEELING AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725
Practice Address - Country:US
Practice Address - Phone:740-432-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty