Individual
MR. EDSON HENRY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
500 SOUTH MAIN STREET, BELLEFONTAINE, OH 43311-1724
(937) 592-5525
(937) 592-5522
Mailing address
500 SOUTH MAIN STREET, BELLEFONTAINE, OH 43311-1724
(937) 592-5525
(937) 592-5522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
736
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423152
—
OH
Enumeration date
07/18/2006
Last updated
07/08/2007
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