Organization
CHAD S. JACOBS, D.C., INC.
Active
Other names
Westerville Family Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD STUART JACOBS D.C. (PRESIDENT)
(614) 898-9195
Entity
Organization
Contact information
Practice address
528 S OTTERBEIN AVE, WESTERVILLE, OH 43081-2913
(614) 898-9195
(614) 898-9188
Mailing address
528 S OTTERBEIN AVE, WESTERVILLE, OH 43081-2913
(614) 898-9195
(614) 898-9188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0869832
—
OH
01
—
1073669164
INDIVIDUAL NPI NUMBER
OH
01
—
299621907-00
WORKERS' COMPENSATION
OH
Enumeration date
03/21/2007
Last updated
08/22/2020
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