| Ironton Park Avenue Chiropractic Center, Inc. | |
|
901 Park Ave Ironton OH 45638-1529 | |
| (740) 532-8888 | |
| (740) 532-1796 |
| Full Name | Ironton Park Avenue Chiropractic Center, Inc. |
|---|---|
| Speciality | Chiropractor |
| Location | 901 Park Ave, Ironton, Ohio |
| Authorized Official Name and Position | Julie A. Leist (MANAGER) |
| Authorized Official Contact | 7406227108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ironton Park Avenue Chiropractic Center, Inc. 901 Park Ave Ironton OH 45638-1529 Ph: (740) 532-8888 | Ironton Park Avenue Chiropractic Center, Inc. 901 Park Ave Ironton OH 45638-1529 Ph: (740) 532-8888 |
| NPI Number | 1831303288 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 10/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831303288 | NPI | - | NPPES |
| 0052323 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
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