Provider Demographics
NPI:1972933752
Name:MUSSLER CHIROPRACTIC & WELLNESS LLC
Entity type:Organization
Organization Name:MUSSLER CHIROPRACTIC & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:MUSSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-758-9567
Mailing Address - Street 1:755 BOARDMAN CANFIELD RD
Mailing Address - Street 2:BLDG C2
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4300
Mailing Address - Country:US
Mailing Address - Phone:330-758-9567
Mailing Address - Fax:330-758-9569
Practice Address - Street 1:755 BOARDMAN CANFIELD RD
Practice Address - Street 2:BLDG C2
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4300
Practice Address - Country:US
Practice Address - Phone:330-758-9567
Practice Address - Fax:330-758-9569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3612111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty