# CHARLTON CHIROPRACTIC & WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225236987
- **Authorized official:** DR. MICHELE D SCHILLIG D.C. (DOCTOR)
- **Authorized official phone:** (330) 829-1962

## Contact information

- **Practice address:** 22752 HARRISBURG WESTVILLE RD, STE A, ALLIANCE, OH 44601-9224
- **Practice address phone:** (330) 829-1962
- **Practice address fax:** (330) 829-9875
- **Mailing address:** 22752 HARRISBURG WESTVILLE RD, STE A, ALLIANCE, OH 44601-9224
- **Mailing address phone:** (330) 829-1962
- **Mailing address fax:** (330) 829-9875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2754 | OH | Yes |

## Other

- **Enumeration date:** 07/04/2007
- **Last updated:** 03/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000204822 | ANTHEM ID NUMBER | OH |
| 05 | — | 2092506 | — | OH |
| 01 | — | 28968565000 | BWC NUMBER | OH |
| 01 | — | 28968565002 | MEDICAL MUTUAL ID NUMBER | OH |