Organization
DAVID JOHN FAKADEJ DC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN FAKADEJ DC (PRESIDENT)
(440) 543-2771
Entity
Organization
Contact information
Practice address
17652 MUNN RD, CHAGRIN FALLS, OH 44023-5425
(440) 543-2772
(440) 543-2772
Mailing address
17652 MUNN RD, CHAGRIN FALLS, OH 44023-5425
(440) 543-2772
(440) 543-2772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3156
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2265972
—
OH
01
—
341964854-00
WORK COMP GROUP NUMBER
OH
Enumeration date
05/16/2007
Last updated
08/22/2020
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