Individual
JANE PALMER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
890 S BARRON ST, EATON, OH 45320-9362
(937) 456-4555
Mailing address
PO BOX 333, EATON, OH 45320-0333
(937) 456-4555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2603
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198866
BCBS ANTHEM
OH
05
—
2174936
—
OH
01
—
7529172
AETNA
OH
Enumeration date
08/21/2006
Last updated
09/01/2011
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