Individual
DR. JEFFREY R. PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
712 E MONROE ST, NEW BREMEN, OH 45869-1000
(419) 629-4500
(419) 629-4500
Mailing address
712 E MONROE ST, NEW BREMEN, OH 45869-1000
(419) 629-4500
(419) 629-4500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2658
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207583
ANTHEM BLUE CROSS BLUE SH
OH
05
—
2079281
—
OH
01
—
341872779-00
WORKERS COMPENSATION
OH
Enumeration date
06/15/2005
Last updated
01/22/2013
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