Provider Demographics
NPI:1063153237
Name:INTEGRITY CHIROPRACTIC CLINIC LLC
Entity type:Organization
Organization Name:INTEGRITY CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCAPERATO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:234-334-7770
Mailing Address - Street 1:3094 W MARKET ST STE 350
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3618
Mailing Address - Country:US
Mailing Address - Phone:234-334-7770
Mailing Address - Fax:234-334-7772
Practice Address - Street 1:3094 W MARKET ST STE 350
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3618
Practice Address - Country:US
Practice Address - Phone:234-334-7770
Practice Address - Fax:234-334-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-04
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty