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Organization
CHARDON FAMILY CHIROPRACTIC CLINIC INC.
Active
Organization
CHARDON FAMILY CHIROPRACTIC CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY J KOTHEIMER D.C. (PRESIDENT)
(440) 286-2225
Entity
Organization
Contact information
Practice address
102 EAST PARK STREET, CHARDON, OH 44024-1237
(440) 286-2225
(440) 286-3058
Mailing address
102 EAST PARK STREET, CHARDON, OH 44024-1237
(440) 286-2225
(440) 286-3058
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0759479
—
OH
Enumeration date
12/20/2007
Last updated
01/16/2008
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