| Theis Chiropractic Clinic, Inc. | |
|
6525 Market Ave N Suite 101 Canton OH 44721-2430 | |
| (330) 433-9000 | |
| (330) 433-9026 |
| Full Name | Theis Chiropractic Clinic, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 6525 Market Ave N, Canton, Ohio |
| Authorized Official Name and Position | Karl David Theis (OWNER/DOCTOR) |
| Authorized Official Contact | 3304339000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theis Chiropractic Clinic, Inc. 6525 Market Ave N Suite 101 Canton OH 44721-2430 Ph: (330) 433-9000 | Theis Chiropractic Clinic, Inc. 6525 Market Ave N Suite 101 Canton OH 44721-2430 Ph: (330) 433-9000 |
| NPI Number | 1285812602 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285812602 | NPI | - | NPPES |
| 0854197 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1826 (Ohio) | Primary |
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