Organization
IRONTON PARK AVENUE CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE A. LEIST (MANAGER)
(740) 622-7108
Entity
Organization
Contact information
Practice address
901 PARK AVE, IRONTON, OH 45638-1529
(740) 532-8888
(740) 532-1796
Mailing address
901 PARK AVE, IRONTON, OH 45638-1529
(740) 532-8888
(740) 532-1796
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052323
—
OH
Enumeration date
05/09/2007
Last updated
10/30/2013
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