Organization
UNIVERSAL TREATMENT AND RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALLAN VAN SKYHOCK DC (MEMBER)
(440) 324-4488
Entity
Organization
Contact information
Practice address
42553 NORTH RIDGE ROAD, SUITE 8, ELYRIA, OH 44035
(440) 324-4488
(440) 324-2465
Mailing address
42553 NORTH RIDGE ROAD, SUITE 8, ELYRIA, OH 44035
(440) 324-4488
(440) 324-2465
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1467
OH
111N00000X
Chiropractor
3541
OH
111NR0400X
Rehabilitation Chiropractor
—
—
207Q00000X
Family Medicine Physician
34004082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2948369
—
OH
Enumeration date
09/08/2006
Last updated
01/24/2013
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