Provider Demographics
NPI:1063710630
Name:PARKER CHIROPRACTIC LIFE CENTER INC
Entity type:Organization
Organization Name:PARKER CHIROPRACTIC LIFE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-644-1907
Mailing Address - Street 1:66 SWARTZ RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-1111
Mailing Address - Country:US
Mailing Address - Phone:330-724-9331
Mailing Address - Fax:330-724-9333
Practice Address - Street 1:66 SWARTZ RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-1111
Practice Address - Country:US
Practice Address - Phone:330-724-9331
Practice Address - Fax:330-724-9333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty