Individual
DR. JOSEPH R ANDREJCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
908 W MAIN ST, LOUISVILLE, OH 44641-1106
(330) 875-3400
(330) 875-9027
Mailing address
908 W MAIN ST, LOUISVILLE, OH 44641-1106
(330) 875-3400
(330) 875-9027
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000143028
ANTHEM BC/BS
OH
05
—
0268044
—
OH
01
—
311816980
MEDICAL MUTUAL
OH
01
—
34-6724862
TAX ID.
OH
01
—
346724862 001
BC/BS
OH
01
—
34672486200
WORKERS COMP
OH
01
—
791350074
RAILROAD MEDICARE
OH
Enumeration date
07/31/2006
Last updated
07/08/2007
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