Organization
FAIRFIELD SPINE CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R GRILLIOT D.C. (PARTNER)
(740) 687-5002
Entity
Organization
Contact information
Practice address
1600 SHERIDAN DR, LANCASTER, OH 43130-1305
(740) 687-5002
(740) 687-5003
Mailing address
1600 SHERIDAN DR, LANCASTER, OH 43130-1305
(740) 687-5002
(740) 687-5003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
OH1555
OH
111N00000X
Chiropractor
Primary
OH940
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OH0114683
—
OH
05
—
OH0716498
—
OH
Enumeration date
11/03/2006
Last updated
08/22/2020
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