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Individual

JEFFREY C ELWERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3328 WESTBOURNE DR, CINCINNATI, OH 45248-5133
(513) 922-2204
(513) 922-2009
Mailing address
PO BOX 428668, CINCINNATI, OH 45242-8668
(513) 922-2204
(513) 922-2009

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
822
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0435729
OH
01
P00988424
RR MEDICARE
OH
Enumeration date
06/24/2005
Last updated
06/12/2012
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