# FEDORKO CHIROPRACTIC HEALTH CTR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144326356
- **Authorized official:** DR. JEFFREY STEVEN FEDORKO DC (CHIROPRACTOR OWNER)
- **Authorized official phone:** (330) 494-0422

## Contact information

- **Practice address:** 4774 MUNSON ST NW, SUITE 302, CANTON, OH 44718-3634
- **Practice address phone:** (330) 494-0422
- **Practice address fax:** (330) 494-3601
- **Mailing address:** 4774 MUNSON ST NW, SUITE 302, CANTON, OH 44718-3634
- **Mailing address phone:** (330) 494-0422
- **Mailing address fax:** (330) 494-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 919 | OH | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0645314 | — | OH |
| 01 | — | 3413757900 | WORKERS COMPENSATION | OH |