Provider Demographics
NPI:1548302367
Name:ABLE CHIROPRACTIC & ALTERNATIVE HEALTH CARE INC
Entity type:Organization
Organization Name:ABLE CHIROPRACTIC & ALTERNATIVE HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WENNING
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:DC R AC
Authorized Official - Phone:216-581-0321
Mailing Address - Street 1:15751 BROADWAY AVENUE
Mailing Address - Street 2:MAPLETOWN SHOPPING CENTER
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137
Mailing Address - Country:US
Mailing Address - Phone:216-581-0321
Mailing Address - Fax:216-332-0386
Practice Address - Street 1:15751 BROADWAY AVENUE
Practice Address - Street 2:MAPLETOWN SHOPPING CENTER
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137
Practice Address - Country:US
Practice Address - Phone:216-581-0321
Practice Address - Fax:216-332-0386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65000035171100000X
OH2082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0975619Medicaid
OH=========00OtherBNC
OH0975619Medicaid
OH=========00OtherBNC