Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3098 | OH |
NPI | 1003973884 |
---|---|
Provider Name | Dr. Eric Edward Lajiness |
First Address | Blacklick, OH 43004-8411 |
Second Address | Westerville, OH 43081-3842 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 01/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2271385 | (05) | OH |