Organization
KENNETH SHELTON, DC, INC
Active
Other names
Rossford Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY L FRUSHER (OFFICE MANAGER)
(419) 666-1114
Entity
Organization
Contact information
Practice address
1114 DIXIE HWY, ROSSFORD, OH 43460-1337
(419) 666-1114
(419) 666-6433
Mailing address
1114 DIXIE HWY, ROSSFORD, OH 43460-1337
(419) 666-1114
(419) 666-6433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293447595-00
BUREAU WORKERS COMP SSN
OH
Enumeration date
05/04/2007
Last updated
08/22/2020
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