Provider Demographics
NPI:1851581037
Name:NAFZIGER FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:NAFZIGER FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAFZIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-445-1600
Mailing Address - Street 1:202 WESTFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ARCHBOLD
Mailing Address - State:OH
Mailing Address - Zip Code:43502-1047
Mailing Address - Country:US
Mailing Address - Phone:419-445-1600
Mailing Address - Fax:419-445-1605
Practice Address - Street 1:202 WESTFIELD DR
Practice Address - Street 2:
Practice Address - City:ARCHBOLD
Practice Address - State:OH
Practice Address - Zip Code:43502-1047
Practice Address - Country:US
Practice Address - Phone:419-445-1600
Practice Address - Fax:419-445-1605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3712111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9371931Medicare PIN
OHV09036Medicare UPIN