Provider Demographics
NPI:1407954795
Name:REED, JEFFREY TODD (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:TODD
Last Name:REED
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 1:938 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-7655
Mailing Address - Country:US
Mailing Address - Phone:937-840-9660
Mailing Address - Fax:937-840-9669
Practice Address - Street 1:938 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-7655
Practice Address - Country:US
Practice Address - Phone:937-840-9660
Practice Address - Fax:937-840-9669
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2231409Medicaid
OH2231409Medicaid
OHU76848Medicare UPIN
OHJE9374461Medicare PIN
OHJE9374461Medicare PIN