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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 | 1861511479 |
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| LBN Legal business name | CHIROSPORT PC | ||||||||||||||||
| Authorized official | PAIGE HONNER - (CLINIC MANAGER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 03/28/2007 | ||||||||||||||||
| Last updated | 09/05/2012 - About 14 years ago | ||||||||||||||||
| Identifiers |
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CHIROSPORT PC
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CHIROSPORT PC