# HATFIELD CHIROPRACTIC CLINIC INC

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

## Provider details

- **NPI number:** 1912906728
- **Authorized official:** DR. JEFFERY CHARLES HATFIELD DC (DR/OWNER)
- **Authorized official phone:** (937) 644-4310

## Contact information

- **Practice address:** 130 N MAIN ST, MARYSVILLE, OH 43040-1106
- **Practice address phone:** (937) 644-4310
- **Practice address fax:** (937) 644-3228
- **Mailing address:** 130 N MAIN ST, MARYSVILLE, OH 43040-1106
- **Mailing address phone:** (937) 644-4310
- **Mailing address fax:** (937) 644-3228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1319 | OH | Yes |

## Other

- **Enumeration date:** 07/14/2005
- **Last updated:** 03/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000134014 | ANTHEM BC/BS | — |
| 05 | — | 0769397 | — | OH |
| 01 | — | 279564334-00 | BUREAU WRKRS COMPENSATION | OH |