Provider Demographics
NPI:1558408625
Name:PLOTKIN, JAY (DC)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:
Last Name:PLOTKIN
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 1:14100 CEDAR ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121
Mailing Address - Country:US
Mailing Address - Phone:216-691-7777
Mailing Address - Fax:216-691-6990
Practice Address - Street 1:14100 CEDAR RD
Practice Address - Street 2:SUITE 220
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44121-3212
Practice Address - Country:US
Practice Address - Phone:216-691-7777
Practice Address - Fax:216-691-6990
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2907111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation