Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob B Fonderlin, DC

Individual provider Chiropractor · NPI 1770414195

Jacob B Fonderlin, DC is a Chiropractic in Youngstown, Ohio. Works from 4 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2026
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone: (330) 797-0070
Fax: (330) 797-9146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 320 High St Ne, Warren, OH 44481-1222 — (330) 797-0070
  • 550 W Chalmers Ave, Youngstown, OH 44511-1576 — (330) 797-0070
  • 8255 South Ave, Youngstown, OH 44512-6483 — (330) 797-0070

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC-05554 (OH)

Record details

NPI number1770414195
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 26, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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