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 | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI Number | 1568582179 |
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| LBN Legal business name | EASTSIDE ALLIED HEALTH, LLC | ||||||||||||
| Authorized official | KHAMIS IBRAHIM - (CLINIC DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 03/29/2007 | ||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||
| Identifiers |
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EASTSIDE ALLIED HEALTH, LLC
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