Provider Demographics
NPI:1316166655
Name:COMPLETE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:COMPLETE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MARKULIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-798-9600
Mailing Address - Street 1:5151 POST RD STE 150
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1246
Mailing Address - Country:US
Mailing Address - Phone:614-798-9600
Mailing Address - Fax:
Practice Address - Street 1:5151 POST RD STE 150
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1246
Practice Address - Country:US
Practice Address - Phone:614-798-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCO9320571Medicare ID - Type Unspecified