Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2393 | OH |
N | 111NN0400X | Neurology | 6393 | OH |
N | 111NN1001X | Nutrition | 6393 | OH |
N | 111NR0400X | Rehabilitation Chiropractor | 6393 | OH |
N | 111NS0005X | Chiropractic Sports Physician | 6393 | OH |
NPI | 1700925815 |
---|---|
Provider Name | Dr. Christopher P Stychno |
First Address | Warren, OH 44484-3073 |
Second Address | Warren, OH 44484-3073 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 02/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2013412 | (05) | OH |
H080770 | (02) | OH |
H338811 | (02) | OH |