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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 | |
Clinic/Center |
261Q00000X |
| NPI Number | 1679619829 |
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| LBN Legal business name | BOARDMAN FAMILY CHIROPRACTIC PSC | ||||||||||||||||
| Authorized official | JEREMIAH HOLMES - (DC OWNER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 01/29/2007 | ||||||||||||||||
| Last updated | 03/07/2024 - About 2 years ago | ||||||||||||||||
| Identifiers |
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BOARDMAN FAMILY CHIROPRACTIC PSC