Provider Demographics
NPI:1447315114
Name:SKRZYNECKI, DEBRA DLUGIEWICZ (DC)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:DLUGIEWICZ
Last Name:SKRZYNECKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:DLUGIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3829 WOODLEY RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1171
Mailing Address - Country:US
Mailing Address - Phone:419-842-1235
Mailing Address - Fax:419-841-9537
Practice Address - Street 1:3829 WOODLEY RD
Practice Address - Street 2:SUITE 1
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1171
Practice Address - Country:US
Practice Address - Phone:419-842-1235
Practice Address - Fax:419-841-9537
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-23
Last Update Date:2013-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1130111N00000X
MI2301004899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2046422Medicaid
OHSK0834901-35Medicare ID - Type Unspecified
OH2046422Medicaid