Core Chiropractic Center, Llc | |
8098 E Market St Ste 2, Warren, OH 44484-2270 | |
(330) 717-3550 | |
(330) 617-4270 |
Full Name | Core Chiropractic Center, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 8098 E Market St Ste 2, Warren, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144673278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4064 (Ohio) | Primary |
Provider Name | Timothy G Novicky |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1508166844 PECOS PAC ID: 1951581040 Enrollment ID: I20110207000594 |
Mailing Address | Practice Location Address |
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Core Chiropractic Center, Llc 8098 E Market St Ste 2, Warren, OH 44484-2270 Ph: (330) 717-3550 | Core Chiropractic Center, Llc 8098 E Market St Ste 2, Warren, OH 44484-2270 Ph: (330) 717-3550 |
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