Organization
WOLF CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DALE JENNINGS D.C. (OWNER)
(419) 756-6262
Entity
Organization
Contact information
Practice address
1408 LEXINGTON AVE STE C, MANSFIELD, OH 44907-2630
(419) 756-6262
(419) 774-0592
Mailing address
1408 LEXINGTON AVE STE C, MANSFIELD, OH 44907-2630
(419) 756-6262
(419) 774-0592
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3879
OH
Other
Enumeration date
08/09/2016
Last updated
12/01/2016
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