Crevier Chiropractic LLC
Chiropractor in Brookings, SD. Organization (NPI-2).
NPI number1699212928
StatusActive
Last updated in NPPESJan 25, 2017
Details
- NPI
- 1699212928
- Entity type
- Organization (NPI-2)
- Legal business name
- Crevier Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2017
- Last updated
- Jan 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 1307 | SD | Yes |
Other names
- Champion Health Chiropractic (Doing Business As)
Practice location
2410 Sunrise Ridge Cir#108
Brookings, SD 57006-2482
Phone 605-695-8899
Mailing address
2410 Sunrise Ridge Cir#108
Brookings, SD 57006-2482
Phone 605-695-8899
Authorized official
Isaiah Andrew Crevier
Owner
6056958899
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