Provider Demographics
NPI:1386740165
Name:CHIROPRACTIC ASSOCIATES OF ZANESVILLE LTD
Entity type:Organization
Organization Name:CHIROPRACTIC ASSOCIATES OF ZANESVILLE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUSTY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-450-2225
Mailing Address - Street 1:1658 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-2552
Mailing Address - Country:US
Mailing Address - Phone:740-450-2225
Mailing Address - Fax:740-450-2226
Practice Address - Street 1:1658 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2552
Practice Address - Country:US
Practice Address - Phone:740-450-2225
Practice Address - Fax:740-450-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2383899Medicaid
OH=========-00OtherWORKERS COMP
OH2383899Medicaid
OHD137164Medicare ID - Type UnspecifiedRR MEDICARE - GROUP
OH2383899Medicaid