Provider Demographics
NPI:1700325776
Name:JFS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:JFS CHIROPRACTIC LLC
Other - Org Name:CLICK CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:LIBERTY
Authorized Official - Last Name:SPIERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-337-8326
Mailing Address - Street 1:561 N SHOOP AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSEON
Mailing Address - State:OH
Mailing Address - Zip Code:43567-1235
Mailing Address - Country:US
Mailing Address - Phone:419-337-8326
Mailing Address - Fax:
Practice Address - Street 1:561 N SHOOP AVE
Practice Address - Street 2:
Practice Address - City:WAUSEON
Practice Address - State:OH
Practice Address - Zip Code:43567-1235
Practice Address - Country:US
Practice Address - Phone:419-337-8326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3476111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2470400Medicaid
OHH229840Medicare PIN