MEDICARE: DR. ERIC JOSEPH CONNER DC

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	111N00000X	Chiropractor	2301010680	MI
2	111N00000X	Chiropractor	DC-05078	OH

General Provider Information

NPI Number	:	1629567136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC JOSEPH CONNER DC

Provider Business Mailing Address
First Line	:	1850 EASTGATE RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-3082
Country	:	US
Telephone Number	:	419-385-0002
Fax Number	:

Provider Business Practice Location Address
First Line	:	1850 EASTGATE RD STE I
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-3024
Country	:	US
Telephone Number	:	419-385-0002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2018
Last Update Date	:	02/27/2025

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