Organization
FEDORKO CHIROPRACTIC HEALTH CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY STEVEN FEDORKO DC (CHIROPRACTOR OWNER)
(330) 494-0422
Entity
Organization
Contact information
Practice address
4774 MUNSON ST NW, SUITE 302, CANTON, OH 44718-3634
(330) 494-0422
(330) 494-3601
Mailing address
4774 MUNSON ST NW, SUITE 302, CANTON, OH 44718-3634
(330) 494-0422
(330) 494-3601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0645314
—
OH
01
—
3413757900
WORKERS COMPENSATION
OH
Enumeration date
09/15/2006
Last updated
08/22/2020
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