| Dr Jack Ellis Lorenz, DC | |
|
1770 Jefferson Ave, Defiance, OH 43512 | |
| (419) 782-2250 | |
| (419) 784-2347 |
| Full Name | Dr Jack Ellis Lorenz |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1770 Jefferson Ave, Defiance, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083723613 | NPI | - | NPPES |
| 000000119614 | Other | ANTHEM | |
| 0340885 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 676 (Ohio) | Primary |
| Provider Name | Defiance Chiropractic Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821178542 PECOS PAC ID: 4284813981 Enrollment ID: O20110127000346 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Ellis Lorenz, DC 1770 Jefferson Ave, Defiance, OH 43512 Ph: (419) 782-2250 | Dr Jack Ellis Lorenz, DC 1770 Jefferson Ave, Defiance, OH 43512 Ph: (419) 782-2250 |
Dr. Kayla May Fairchild, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 100 Stadium Dr Ste B, Defiance, OH 43512 Phone: 419-576-5070 | |
Dr. James Albin Bauer, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 619 W Second Street, Defiance, OH 43512 Phone: 419-782-1166 | |
Fairchild Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 100 Stadium Dr Ste B, Defiance, OH 43512 Phone: 419-576-5070 | |
Cody Lee Robinson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 210 Latchaw Dr, Defiance, OH 43512 Phone: 419-785-4215 | |
Dr. William David Lorenz, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1770 Jefferson Ave, Defiance, OH 43512 Phone: 419-782-2250 Fax: 419-784-2347 | |
Dr. Coit Arthur Black Jr., D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 300 Hopkins St, Defiance, OH 43512 Phone: 419-782-9106 |