MEDICARE: STETZ CHIROPRACTIC CENTER INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	1070	OH

General Provider Information

NPI Number	:	1396863825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STETZ CHIROPRACTIC CENTER INC.

Provider Business Mailing Address
First Line	:	1057 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2609
Country	:	US
Telephone Number	:	614-459-5400
Fax Number	:	614-459-6353

Provider Business Practice Location Address
First Line	:	1057 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2609
Country	:	US
Telephone Number	:	614-459-5400
Fax Number	:	614-459-6353

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEROME PATRICK STETZ
Credential	:	D.C.
Telephone Number	:	614-459-5400

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/22/2020

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