NPI | 1982126181 |
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Doing Business As | THE CHIROPRACTIC CLINIC |
Other Name | DBA THE CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | JOSHUA JAMES SHIDELES Owner/President 850-830-5544 |
Organization Subpart ? | No |
Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 60284738) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2022-12-09 |