Provider Demographics
NPI:1932669785
Name:PELFREY, JULIAN EARL (DC)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:EARL
Last Name:PELFREY
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 1:343 W GUTHRIE DR
Mailing Address - Street 2:
Mailing Address - City:UPPER SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:43351-1151
Mailing Address - Country:US
Mailing Address - Phone:419-310-5187
Mailing Address - Fax:
Practice Address - Street 1:8311 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-6459
Practice Address - Country:US
Practice Address - Phone:614-888-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-04879111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor