# CHIROPRACTIC SPINE CENTER, LLC

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

## Provider details

- **NPI number:** 1447479571
- **Authorized official:** MRS. DANY/LAURA CAMBOURIS/DEW (MANAGER/BILLER)
- **Authorized official phone:** (330) 220-2001

## Contact information

- **Practice address:** 1930 PEARL RD, SUITE 2, BRUNSWICK, OH 44212-6477
- **Practice address phone:** (330) 220-2001
- **Practice address fax:** (330) 220-2232
- **Mailing address:** 1930 PEARL RD, SUITE 2, BRUNSWICK, OH 44212-6477
- **Mailing address phone:** (330) 220-2001
- **Mailing address fax:** (330) 220-2232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 3400 | OH | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 10/24/2007