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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 | |
Sports Physician |
111NS0005X | 35 | Chiropractic |
| NPI Number | 1306102066 |
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| LBN Legal business name | IMAGINE CHIROPRACTIC AND WELLNESS CENTER, INC. | ||||||||
| Authorized official | ANGELA THIELE - (OWNER/CHIROPRACTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/06/2012 | ||||||||
| Last updated | 04/06/2012 - About 14 years ago | ||||||||
| Identifiers |
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IMAGINE CHIROPRACTIC AND WELLNESS CENTER, INC.