Panchur Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2742 Issued in OH

Legal business name

PANCHUR CHIROPRACTIC CORP

Practice address

1197 High St
Suite 102
Wadsworth, OH 44281-8282

Phone

(330) 335-6070

Fax

(330) 335-6080

NPI assigned

Aug 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Jane Panchur, D.C.NPI 1699820480

Title

Owner

Phone

(330) 335-6070

Specialties & licenses 1

Addresses

Other names 1

• Panchur Chiropractic Wellness Centre Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Jane Panchur, D.C.

  • Chiropractor
  • Wadsworth, OH
  • NPI 1699820480
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1881886604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 HIGH ST",
            "address_2": "SUITE 102",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818282",
            "telephone_number": "330-335-6070",
            "fax_number": "330-335-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 HIGH ST",
            "address_2": "SUITE 102",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818282",
            "telephone_number": "330-335-6070",
            "fax_number": "330-335-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANCHUR CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "PANCHUR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-335-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panchur Chiropractic Wellness Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Ortlip, MSN, APRN, FNP-C
• Lisa Owen, RPH
• Amanda Owens, LPCC-SUPV
• P&D Home Services, Inc.
• Maria Palfi, RPH
• Jennifer Jane Panchur, D.C.
• Nicholas H Papas, MD
• Park Centre Optical
• Lisa Parry
• Jared Thomas Parsons, MOT, OTR/L

• Chiropractor in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.