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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 | |
Acupuncturist |
171100000X | |||
Massage Therapist |
225700000X |
| NPI Number | 1386144665 |
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| LBN Legal business name | BLUE ISLAND TRADITIONAL MEDICINE, LLC | ||||||||
| Authorized official | BEATRICE SCESCKE - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 02/13/2018 | ||||||||
| Last updated | 06/18/2019 - About 7 years ago | ||||||||
| Identifiers |
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BLUE ISLAND TRADITIONAL MEDICINE, LLC
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BLUE ISLAND TRADITIONAL MEDICINE, LLC