# LANCASTER CHIROPRACTIC CLINIC, INC.

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

## Provider details

- **NPI number:** 1235325267
- **Authorized official:** DR. JERROLD J. SIMON D.C. (PRESIDENT)
- **Authorized official phone:** (740) 653-2973

## Contact information

- **Practice address:** 616 N COLUMBUS ST, LANCASTER, OH 43130-2535
- **Practice address phone:** (740) 653-2973
- **Practice address fax:** (740) 653-3249
- **Mailing address:** 616 N COLUMBUS ST, LANCASTER, OH 43130-2535
- **Mailing address phone:** (740) 653-2973
- **Mailing address fax:** (740) 653-3249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1066 | OH | Yes |
| 111NN1001X | Nutrition Chiropractor | 1066 | OH | — |
| 111NR0400X | Rehabilitation Chiropractor | 1066 | OH | — |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 10/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0582758 | — | OH |