Organization
HATFIELD CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY CHARLES HATFIELD DC (DR/OWNER)
(937) 644-4310
Entity
Organization
Contact information
Practice address
130 N MAIN ST, MARYSVILLE, OH 43040-1106
(937) 644-4310
(937) 644-3228
Mailing address
130 N MAIN ST, MARYSVILLE, OH 43040-1106
(937) 644-4310
(937) 644-3228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1319
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134014
ANTHEM BC/BS
—
05
—
0769397
—
OH
01
—
279564334-00
BUREAU WRKRS COMPENSATION
OH
Enumeration date
07/14/2005
Last updated
03/20/2024
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