Provider Demographics
NPI:1053766006
Name:ALL HEALTH CHIROPRACTIC WELLNESS CENTER
Entity type:Organization
Organization Name:ALL HEALTH CHIROPRACTIC WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-439-9440
Mailing Address - Street 1:24932 AURORA RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1788
Mailing Address - Country:US
Mailing Address - Phone:440-439-9440
Mailing Address - Fax:440-439-1808
Practice Address - Street 1:24932 AURORA RD
Practice Address - Street 2:SUITE C
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1788
Practice Address - Country:US
Practice Address - Phone:440-439-9440
Practice Address - Fax:440-439-1808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1311955111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1311955OtherLICENSE