Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Chiropractor |
111N00000X | 35 | Chiropractic |
| NPI Number | 1730486408 |
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| LBN Legal business name | HARTWIG CHIROPRACTIC, LLC | ||||
| Authorized official | JODE ANN PETERSON - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/16/2011 | ||||
| Last updated | 07/17/2018 - About 8 years ago | ||||
| Identifiers |
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