=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881882629
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHIOFALO CHIROPRACTIC CLINIC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/05/2007
-----------------------------------------------------
Last Update Date | 08/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 W HIGH ST
-----------------------------------------------------
City | ORRVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44667-1538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-683-1533
-----------------------------------------------------
Fax | 330-682-7064
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 W HIGH ST
-----------------------------------------------------
City | ORRVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44667-1538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-683-1533
-----------------------------------------------------
Fax | 330-682-7064
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JOHN D. CHIOFALO
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 330-683-1533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NX0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Chiropractor
-----------------------------------------------------
License Number | 1440
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------