Healthcare Provider Details

I. General information

NPI: 1497824676
Provider Name (Legal Business Name): JOHN M. FIFER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7055 PEARL RD STE 150
CLEVELAND OH
44130-4940
US

IV. Provider business mailing address

6929 W 130TH ST STE 403
PARMA HEIGHTS OH
44130-7822
US

V. Phone/Fax

Practice location:
  • Phone: 440-885-0845
  • Fax: 440-885-0944
Mailing address:
  • Phone: 440-885-0845
  • Fax: 440-885-0944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC2720
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: