# COLDWATER CHIROPRACTIC CLINIC INC.

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

## Provider details

- **NPI number:** 1730360777
- **Authorized official:** MR. DERON BLASINGAME (MANAGER/OWNER)
- **Authorized official phone:** (419) 678-7746

## Contact information

- **Practice address:** 201 N MILL ST, COLDWATER, OH 45828-1219
- **Practice address phone:** (419) 678-7746
- **Practice address fax:** (419) 678-1327
- **Mailing address:** 201 N MILL ST, COLDWATER, OH 45828-1219
- **Mailing address phone:** (419) 678-7746
- **Mailing address fax:** (419) 678-1327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2441 | OH | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 11/19/2007