# IRONTON PARK AVENUE CHIROPRACTIC CENTER, INC.

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

## Provider details

- **NPI number:** 1831303288
- **Authorized official:** MRS. JULIE A. LEIST (MANAGER)
- **Authorized official phone:** (740) 622-7108

## Contact information

- **Practice address:** 901 PARK AVE, IRONTON, OH 45638-1529
- **Practice address phone:** (740) 532-8888
- **Practice address fax:** (740) 532-1796
- **Mailing address:** 901 PARK AVE, IRONTON, OH 45638-1529
- **Mailing address phone:** (740) 532-8888
- **Mailing address fax:** (740) 532-1796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 2084N0400X | Neurology Physician | — | — | — |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 10/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0052323 | — | OH |