Organization
WATERVILLE CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON W SCHWANZ DC (MANAGER)
(419) 878-8142
Entity
Organization
Contact information
Practice address
216 SOUTH ST, WATERVILLE, OH 43566-1463
(419) 878-8142
Mailing address
216 SOUTH ST, WATERVILLE, OH 43566-1463
(419) 878-8142
(419) 878-8143
Taxonomy
Speciality
Code
Description
License number
State
111NT0100X
Thermography Chiropractor
Primary
1201
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0632855
—
OH
Enumeration date
02/04/2010
Last updated
02/04/2010
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