Chardon Family Chiropractic Clinic Inc.

NPI #1689858169 in Chardon, Ohio

Provider Information

NPI Number: 1689858169
Entity Type: Organization
Organization Name: Chardon Family Chiropractic Clinic Inc.
Primary Specialty: Chiropractor
Enumeration Date: Dec 20, 2007
Last Updated: Jan 16, 2008

Practice Location

Address: 102 EAST PARK STREET
City: Chardon
State: Ohio
ZIP Code: 44024-1237
Phone: (440) 286-2225

Authorized Official

Name: DR. BARRY J KOTHEIMER, D.C.
Title: PRESIDENT
Phone: (440) 286-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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