Individual
DR. LARRY J INFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6177 LAKE ST, KINGSVILLE, OH 44048
(440) 224-0680
Mailing address
PO BOX 62, KINGSVILLE, OH 44048-0062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
694
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130893
ANTHEM
—
05
—
0346281
—
OH
Enumeration date
03/07/2007
Last updated
04/30/2008
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