Provider Demographics
NPI:1871667485
Name:ACCORDINO, PHILLIP FRANCIS (DC)
Entity type:Individual
Prefix:
First Name:PHILLIP
Middle Name:FRANCIS
Last Name:ACCORDINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 YOUNGSTOWN WARREN RD
Mailing Address - Street 2:BLDG 1 SUITE B
Mailing Address - City:HILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446
Mailing Address - Country:US
Mailing Address - Phone:330-652-4978
Mailing Address - Fax:330-652-4994
Practice Address - Street 1:1250 YOUNGSTOWN WARREN RD
Practice Address - Street 2:BLDG 1 SUITE B
Practice Address - City:HILES
Practice Address - State:OH
Practice Address - Zip Code:44446
Practice Address - Country:US
Practice Address - Phone:330-652-4978
Practice Address - Fax:330-652-4994
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH846111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T47549Medicare UPIN
OHAC0512302Medicare ID - Type Unspecified