Organization
NEIDERT CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KONRAD NEIDERT JR. D.C. (PRESIDENT)
(330) 499-1518
Entity
Organization
Contact information
Practice address
1515 PORTAGE ST NW, SUITE C, NORTH CANTON, OH 44720-2290
(330) 499-1518
(330) 499-7385
Mailing address
11568 HOOVER AVE NW, UNIONTOWN, OH 44685-7385
(330) 877-3645
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1033
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0549366
—
OH
Enumeration date
10/08/2006
Last updated
08/22/2020
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