Organization
STREETSBORO CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L WHEAT DC (OWNER)
(330) 626-5561
Entity
Organization
Contact information
Practice address
9125 STATE ROUTE 14, STREETSBORO, OH 44241-5629
(330) 626-5561
(330) 626-9219
Mailing address
PO BOX 2067, STREETSBORO, OH 44241-0067
(330) 626-5561
(330) 626-9219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
907
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473232
—
OH
Enumeration date
06/12/2006
Last updated
10/28/2010
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