# DAVID JOHN FAKADEJ DC INC

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

## Provider details

- **NPI number:** 1619183498
- **Authorized official:** DR. DAVID JOHN FAKADEJ DC (PRESIDENT)
- **Authorized official phone:** (440) 543-2771

## Contact information

- **Practice address:** 17652 MUNN RD, CHAGRIN FALLS, OH 44023-5425
- **Practice address phone:** (440) 543-2772
- **Practice address fax:** (440) 543-2772
- **Mailing address:** 17652 MUNN RD, CHAGRIN FALLS, OH 44023-5425
- **Mailing address phone:** (440) 543-2772
- **Mailing address fax:** (440) 543-2772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3156 | OH | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2265972 | — | OH |
| 01 | — | 341964854-00 | WORK COMP GROUP NUMBER | OH |