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SPRANDEL CHIROPRACTIC CLINIC INC NPI 1629247960


NPI Information

NPI: 1629247960
Provider Name: SPRANDEL CHIROPRACTIC CLINIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1412 CLEVELAND AVE NW
CANTON, OH
ZIP 44703
Phone: (330) 455-4602
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SPRANDEL CHIROPRACTIC CLINIC INC is a chiropractor in Canton, OH. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SPRANDEL CHIROPRACTIC CLINIC INC NPI is 1629247960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1412 CLEVELAND AVE NW
CANTON, OH
ZIP 44703
Phone: (330) 455-4602
Fax: (330) 455-2468

The provider's authorized official is Judson G Sprandel .
The authorized official title is Chiropractic Physician and has the following contact phone number (330) 455-4602.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 2/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor930OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10014675MEDICAIDOHIO
2U52102MEDICARE UPINOHIO
3065644ZMEDICARE OSCAR/CERTIFICATIONOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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