Provider Demographics
NPI:1124461868
Name:CHIROMAX
Entity type:Organization
Organization Name:CHIROMAX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:VOJTECH ZACKAROFF
Authorized Official - Suffix:
Authorized Official - Credentials:MS, DC
Authorized Official - Phone:330-963-2273
Mailing Address - Street 1:8900 DARROW RD STE H102
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-6801
Mailing Address - Country:US
Mailing Address - Phone:330-963-2273
Mailing Address - Fax:330-963-2275
Practice Address - Street 1:8900 DARROW RD
Practice Address - Street 2:SUITE H104
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-6800
Practice Address - Country:US
Practice Address - Phone:330-963-2273
Practice Address - Fax:330-963-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4045111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty