Provider Demographics
NPI:1023004793
Name:KORN, JEFFREY ADAM (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ADAM
Last Name:KORN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3461 E LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-2220
Mailing Address - Country:US
Mailing Address - Phone:614-461-7388
Mailing Address - Fax:614-461-7450
Practice Address - Street 1:634 N STATE ST
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9083
Practice Address - Country:US
Practice Address - Phone:614-901-9355
Practice Address - Fax:614-901-9356
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2406597Medicaid
OH2406597Medicaid
OHU97104Medicare UPIN