Provider Demographics
NPI:1407223852
Name:HEDGES, CHAD D (DC, MS, CCSP)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:D
Last Name:HEDGES
Suffix:
Gender:
Credentials:DC, MS, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 W FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8821
Mailing Address - Country:US
Mailing Address - Phone:740-494-1470
Mailing Address - Fax:740-494-1471
Practice Address - Street 1:2265 W FAIR AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8821
Practice Address - Country:US
Practice Address - Phone:740-494-1470
Practice Address - Fax:740-494-1471
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-04666111NS0005X
AK125484111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician