Healthcare Provider Details

I. General information

NPI: 1760032304
Provider Name (Legal Business Name): ADJ CONTRACTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 09/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9059 CINCINNATI DAYTON RD
WEST CHESTER OH
45069-3127
US

IV. Provider business mailing address

9059 CINCINNATI DAYTON RD
WEST CHESTER OH
45069-3127
US

V. Phone/Fax

Practice location:
  • Phone: 513-400-2019
  • Fax:
Mailing address:
  • Phone: 513-400-2019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA JEWELL
Title or Position: CHIROPRACTOR
Credential:
Phone: 513-400-2019