Provider Demographics
NPI:1629209218
Name:JC LOTZER CHIROPRACTIC INC
Entity type:Organization
Organization Name:JC LOTZER CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTZER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:218-233-5141
Mailing Address - Street 1:213 7TH ST S
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-2740
Mailing Address - Country:US
Mailing Address - Phone:218-233-5141
Mailing Address - Fax:218-233-3348
Practice Address - Street 1:213 7TH ST S
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-2740
Practice Address - Country:US
Practice Address - Phone:218-233-5141
Practice Address - Fax:218-233-3348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty