Individual
DR. JERROLD J. SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
616 N COLUMBUS ST, LANCASTER, OH 43130-2535
(740) 653-2973
(740) 653-3249
Mailing address
616 N COLUMBUS ST, LANCASTER, OH 43130-2535
(740) 653-2973
(740) 653-3249
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
1066
OH
111NR0400X
Rehabilitation Chiropractor
Primary
1066
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0582758
—
OH
Enumeration date
05/06/2006
Last updated
08/11/2011
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