Provider Demographics
NPI:1306369236
Name:KAPPER CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:KAPPER CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-365-2434
Mailing Address - Street 1:1716 N CROSS ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-1043
Mailing Address - Country:US
Mailing Address - Phone:330-365-2434
Mailing Address - Fax:330-343-9761
Practice Address - Street 1:1716 N CROSS ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-1043
Practice Address - Country:US
Practice Address - Phone:330-365-2434
Practice Address - Fax:330-343-9761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty