# SHREVE CHIROPRACTIC

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

## Provider details

- **NPI number:** 1356591820
- **Authorized official:** MRS. DEBORAH J MARTIN (CHIROPRACTIC ASSISTANT)
- **Authorized official phone:** (330) 567-3996

## Contact information

- **Practice address:** 126 W MCCONKEY ST., SHREVE, OH 44676-0545
- **Practice address phone:** (330) 567-3996
- **Practice address fax:** (330) 567-3996
- **Mailing address:** PO BOX 545, 126 W MCCONKEY ST., SHREVE, OH 44676-0545
- **Mailing address phone:** (330) 567-3996
- **Mailing address fax:** (330) 567-3996

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2008
- **Last updated:** 09/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0888339 | — | OH |