Provider Demographics
NPI:1902071723
Name:STERLING CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:STERLING CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:EASH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-939-3191
Mailing Address - Street 1:13078 SEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:OH
Mailing Address - Zip Code:44276-9611
Mailing Address - Country:US
Mailing Address - Phone:330-939-3191
Mailing Address - Fax:330-939-1101
Practice Address - Street 1:13078 SEVILLE RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:OH
Practice Address - Zip Code:44276-9611
Practice Address - Country:US
Practice Address - Phone:330-939-3191
Practice Address - Fax:330-939-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2596089Medicaid
OH2596089Medicaid
OH9356421Medicare PIN