Individual
LANCE ROBERT FERKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
520 YOUNGSTOWN POLAND RD, STRUTHERS, OH 44471-1103
(330) 755-1199
(330) 755-1299
Mailing address
8487 IVY HILL DR, POLAND, OH 44514-5214
(330) 757-8480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2361
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000121636
ANTHEM PROVIDER NUMBER
OH
01
—
001756443002
UNITED HEALTHCARE
OH
01
—
311545465-00
OHIO WORKER'S COMP
OH
Enumeration date
03/26/2007
Last updated
07/08/2007
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