JTDC, Inc
Organization Active NPI Chiropractor · Johnstown, OH
NPI 1013157684 · NPPES record last updated Feb 23, 2009
Key facts
- NPI
- 1013157684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1277 (OH)
- Legal business name
- JTDC, INC
- Practice address
- 620 W Coshocton St
Johnstown, OH 43031-9580 - Phone
- (740) 967-2225
- Fax
- (740) 967-8907
- NPI assigned
- Feb 23, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Barton Kipp Hall, D.C.
- Title
- President
- Phone
- (740) 967-2225
National Provider Directory
Locations
620 W Coshocton St
Johnstown, OH 43031
Phone (740) 967-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1277 | OH | Yes |
Addresses
Primary practice location
620 W Coshocton St
Johnstown, OH 43031-9580
Mailing address
PO Box 343
Johnstown, OH 43031-0343
Phone (740) 967-2225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0142965 | Medicaid | OH |
Other names
- Johnstown Chiropractic
Other providers in Johnstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.