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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 # | 1154655660 |
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| LBN Legal business name | 5TH AVENUE CHIROPRACTIC | ||||
| Authorized official | BRYAN STAKER - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/30/2009 | ||||
| Last updated | 09/30/2009 - About 17 years ago | ||||
| Identifiers |
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5TH AVENUE CHIROPRACTIC
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5TH AVENUE CHIROPRACTIC