Individual
JAY B RIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
614 E MAIN ST, GENEVA, OH 44041-1385
(440) 466-1155
(440) 466-1255
Mailing address
614 E MAIN ST, GENEVA, OH 44041-1385
(440) 466-1155
(440) 466-1255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3328
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00199838
RAILROAD MEDICARE
OH
Enumeration date
07/21/2006
Last updated
07/08/2007
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