A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic |
| NPI Number | 1003861907 |
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| LBN Legal business name | ADVANCED CHIROPRACTIC & REHAB, PC | ||||||||||||||||||||
| Authorized official | RUSTIN GLASS - (OWNER) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 05/23/2006 | ||||||||||||||||||||
| Last updated | 05/12/2008 - About 18 years ago | ||||||||||||||||||||
| Identifiers |
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