Provider Demographics
NPI:1578817276
Name:ESARCO, JAREK ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:JAREK
Middle Name:ANDREW
Last Name:ESARCO
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 1:7505 CALIFORNIA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5618
Mailing Address - Country:US
Mailing Address - Phone:330-758-1599
Mailing Address - Fax:330-758-6053
Practice Address - Street 1:7505 CALIFORNIA AVE STE A
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-5618
Practice Address - Country:US
Practice Address - Phone:330-758-1599
Practice Address - Fax:330-758-6053
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4335111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor