Provider Demographics
NPI:1417403825
Name:FAMILY CHIROPRACTIC SERVICES,INC.
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SESCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-524-3030
Mailing Address - Street 1:15 LEXINGTON ONTARIO RD
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OH
Mailing Address - Zip Code:44903-7772
Mailing Address - Country:US
Mailing Address - Phone:419-524-3030
Mailing Address - Fax:419-524-3030
Practice Address - Street 1:15 LEXINGTON ONTARIO RD
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44903-7772
Practice Address - Country:US
Practice Address - Phone:419-524-3030
Practice Address - Fax:419-524-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-27
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty