Provider Demographics
NPI:1396863825
Name:STETZ CHIROPRACTIC CENTER INC.
Entity Type:Organization
Organization Name:STETZ CHIROPRACTIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:STETZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-459-5400
Mailing Address - Street 1:1057 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2609
Mailing Address - Country:US
Mailing Address - Phone:614-459-5400
Mailing Address - Fax:614-459-6353
Practice Address - Street 1:1057 BETHEL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2609
Practice Address - Country:US
Practice Address - Phone:614-459-5400
Practice Address - Fax:614-459-6353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1070261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center