Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI Number | 1396074209 |
||||
| LBN Legal business name | TWIN CITIES MOBILE CHIROPRACTIC, P.C. | ||||
| Authorized official | KEVIN BOVITZ - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/24/2009 | ||||
| Last updated | 12/24/2009 - About 16 years ago | ||||
| Identifiers |
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