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Individual

DR. DANIEL J CHACHKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
119 RIDGE RD, SUITE B, NEWTON FALLS, OH 44444-1261
(330) 872-1500
(330) 872-1466
Mailing address
PO BOX 423, NEWTON FALLS, OH 44444-1261
(330) 872-1500
(330) 872-1466

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1896
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000141154
BCBS
OH
01
290747773003
MMOH
OH
Enumeration date
05/04/2006
Last updated
01/19/2011
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