Individual
DR. JEFFREY MAHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
715 S COY RD STE C, OREGON, OH 43616-3010
(419) 567-8438
Mailing address
715 S COY RD STE C, OREGON, OH 43616-3010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-04822
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RG852051
DRIVERS LICENSE
OH
Enumeration date
01/05/2019
Last updated
04/22/2023
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