Healthcare Provider Details

I. General information

NPI: 1811948557
Provider Name (Legal Business Name): ELKINS FAMILY CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W AUGLAIZE ST
WAPAKONETA OH
45895-1534
US

IV. Provider business mailing address

108 W AUGLAIZE ST
WAPAKONETA OH
45895-1534
US

V. Phone/Fax

Practice location:
  • Phone: 419-739-9000
  • Fax: 419-739-9005
Mailing address:
  • Phone: 419-739-9000
  • Fax: 419-739-9005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN CHARLES ELKINS
Title or Position: VICE PRESIDENT
Credential: D.C.
Phone: 419-739-9000