| Defiance Chiropractic Center, Inc. | |
|
1770 Jefferson Ave, Defiance, OH 43512 | |
| (419) 782-2250 | |
| (419) 784-2347 |
| Full Name | Defiance Chiropractic Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1770 Jefferson Ave, Defiance, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821178542 | NPI | - | NPPES |
| 2204975 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kyle W Vondeylen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639189731 PECOS PAC ID: 9638174907 Enrollment ID: I20060919000526 |
| Provider Name | William David Lorenz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174632707 PECOS PAC ID: 7810177979 Enrollment ID: I20110207000287 |
| Provider Name | Richard Lee Thomas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902991060 PECOS PAC ID: 0345429049 Enrollment ID: I20110207000311 |
| Provider Name | Shane A Klingler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184733719 PECOS PAC ID: 4981883683 Enrollment ID: I20110210000033 |
| Provider Name | Jack L Lorenz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083723613 PECOS PAC ID: 2062692981 Enrollment ID: I20110210000231 |
| Provider Name | John Michael Kemper |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770930505 PECOS PAC ID: 9537450788 Enrollment ID: I20160620001863 |
| Mailing Address | Practice Location Address |
|---|---|
| Defiance Chiropractic Center, Inc. 1770 Jefferson Ave, Defiance, OH 43512 Ph: (419) 782-2250 | Defiance Chiropractic Center, Inc. 1770 Jefferson Ave, Defiance, OH 43512 Ph: (419) 782-2250 |
Dr. Kayla May Fairchild, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 100 Stadium Dr Ste B, Defiance, OH 43512 Phone: 419-576-5070 | |
Dr. James Albin Bauer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 619 W Second Street, Defiance, OH 43512 Phone: 419-782-1166 | |
Fairchild Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 100 Stadium Dr Ste B, Defiance, OH 43512 Phone: 419-576-5070 | |
Dr. Jack Ellis Lorenz, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1770 Jefferson Ave, Defiance, OH 43512 Phone: 419-782-2250 Fax: 419-784-2347 | |
Cody Lee Robinson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 210 Latchaw Dr, Defiance, OH 43512 Phone: 419-785-4215 | |
Dr. William David Lorenz, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1770 Jefferson Ave, Defiance, OH 43512 Phone: 419-782-2250 Fax: 419-784-2347 | |
Dr. Coit Arthur Black Jr., D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 300 Hopkins St, Defiance, OH 43512 Phone: 419-782-9106 |