National Provider Identifier Database

ALL INJURY DIAGNOSTIC CLINIC LLC
Chiropractor

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.


Contact Information

ALL INJURY & DIAGNOSTIC CLINIC LLC
125 MASON AVE STE A
DAYTONA BEACH, FL32117-5017
Phone: 386-252-0658
Fax: 386-313-0304
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for ALL INJURY & DIAGNOSTIC CLINIC LLC

NPI Number 1932672540
Legal business name
LBN
ALL INJURY & DIAGNOSTIC CLINIC LLC
Authorized official JOHNATHAN WAGNER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/07/2019
Last updated 01/07/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Other: 1881628220 NPI TYPE 1

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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