Organization
INFIELD CHIROPRACTIC OFFICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY J INFIELD D.C. (PRESIDENT)
(440) 224-0680
Entity
Organization
Contact information
Practice address
6177 LAKE STREET, KINGSVILLE, OH 44048
(440) 224-0680
(440) 224-2888
Mailing address
PO BOX 62, KINGSVILLE, OH 44048-0062
(440) 224-0680
(440) 224-2888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
694
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130893
ANTHEM BLUE CROSS AND BLUE SHIELD
—
05
—
0346281
—
OH
01
—
44-00148
UNITED HEALTHCARE
—
01
—
868244
AETNA
—
Enumeration date
12/05/2007
Last updated
05/14/2008
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