Individual
JACK ALLEN HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1228 NORDICA LN, CINCINNATI, OH 45255-3118
(513) 474-9377
Mailing address
1228 NORDICA LN, CINCINNATI, OH 45255-3118
(513) 474-9377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2367
OH
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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