# SPRANDEL CHIROPRACTIC CLINIC INC

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

## Provider details

- **NPI number:** 1629247960
- **Authorized official:** DR. JUDSON G SPRANDEL II DC (CHIROPRACTIC PHYSICIAN)
- **Authorized official phone:** (330) 455-4602

## Contact information

- **Practice address:** 1412 CLEVELAND AVE NW, CANTON, OH 44703
- **Practice address phone:** (330) 455-4602
- **Practice address fax:** (330) 455-2468
- **Mailing address:** 1412 CLEVELAND AVE NW, CANTON, OH 44703
- **Mailing address phone:** (330) 455-4602
- **Mailing address fax:** (330) 455-2468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 930 | OH | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 02/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0014675 | — | OH |