Healthcare Provider Details

I. General information

NPI: 1851581037
Provider Name (Legal Business Name): NAFZIGER FAMILY CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 12/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 WESTFIELD DR
ARCHBOLD OH
43502-1047
US

IV. Provider business mailing address

202 WESTFIELD DR
ARCHBOLD OH
43502-1047
US

V. Phone/Fax

Practice location:
  • Phone: 419-445-1600
  • Fax: 419-445-1605
Mailing address:
  • Phone: 419-445-1600
  • Fax: 419-445-1605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3712
License Number StateOH

VIII. Authorized Official

Name: CARRIE A NAFZIGER
Title or Position: PRESIDENT
Credential:
Phone: 419-445-1600