Provider Demographics
NPI:1588996433
Name:CHIROPRACTIC AND REHABILITATION OF ELYRIA
Entity type:Organization
Organization Name:CHIROPRACTIC AND REHABILITATION OF ELYRIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SHERROD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-324-9000
Mailing Address - Street 1:230 MARKET DR
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-2886
Mailing Address - Country:US
Mailing Address - Phone:440-324-9000
Mailing Address - Fax:440-324-2849
Practice Address - Street 1:230 MARKET DR
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2886
Practice Address - Country:US
Practice Address - Phone:440-324-9000
Practice Address - Fax:440-324-2849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH4024111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty