Organization
LANCASTER CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERROLD J. SIMON D.C. (PRESIDENT)
(740) 653-2973
Entity
Organization
Contact information
Practice address
616 N COLUMBUS ST, LANCASTER, OH 43130-2535
(740) 653-2973
(740) 653-3249
Mailing address
616 N COLUMBUS ST, LANCASTER, OH 43130-2535
(740) 653-2973
(740) 653-3249
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1066
OH
111NN1001X
Nutrition Chiropractor
1066
OH
111NR0400X
Rehabilitation Chiropractor
1066
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0582758
—
OH
Enumeration date
09/24/2007
Last updated
10/12/2011
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