Provider Demographics
NPI:1396933925
Name:SIMPSON CHIROPRACTIC CENTER LLC
Entity type:Organization
Organization Name:SIMPSON CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:W
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-424-8833
Mailing Address - Street 1:342 GLESSNER AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-2411
Mailing Address - Country:US
Mailing Address - Phone:419-424-8833
Mailing Address - Fax:419-424-8853
Practice Address - Street 1:342 GLESSNER AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-2411
Practice Address - Country:US
Practice Address - Phone:419-424-8833
Practice Address - Fax:419-424-8853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2270111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU58138Medicare UPIN
OH9370171Medicare PIN