# DIFFENDERFER ENTERPRISES INC

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

## Provider details

- **NPI number:** 1205045606
- **Authorized official:** DR. FRED E DIFFENDERFER D.C. (PRESIDENT)
- **Authorized official phone:** (740) 474-9777

## Contact information

- **Practice address:** 1430 N COURT ST, CIRCLEVILLE, OH 43113-1005
- **Practice address phone:** (740) 474-9777
- **Practice address fax:** (740) 474-6225
- **Mailing address:** 1430 N COURT ST, CIRCLEVILLE, OH 43113-1005
- **Mailing address phone:** (740) 474-9777
- **Mailing address fax:** (740) 474-6225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC1077 | OH | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000120712 | GROUP ANTHEM | OH |
| 01 | — | 168369204002 | MEDICAL MUTUAL | OH |