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Organization
DAVID JOHN FAKADEJ DC INC
Active
Organization
DAVID JOHN FAKADEJ DC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN FAKADEJ DC (PRESIDENT)
(440) 543-2771
Entity
Organization
Contact information
Practice address
17652 MUNN RD, CHAGRIN FALLS, OH 44023-5425
(440) 543-2772
(440) 543-2772
Mailing address
17652 MUNN RD, CHAGRIN FALLS, OH 44023-5425
(440) 543-2772
(440) 543-2772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3156
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2265972
—
OH
01
—
341964854-00
WORK COMP GROUP NUMBER
OH
Enumeration date
05/16/2007
Last updated
08/22/2020
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