Mestdagh Chiropractic Corp
Chiropractor in Columbia, IL. Organization (NPI-2).
NPI number1801192554
StatusActive
Last updated in NPPESJan 28, 2011
Details
- NPI
- 1801192554
- Entity type
- Organization (NPI-2)
- Legal business name
- Mestdagh Chiropractic Corp
- Organization subpart
- No
- Enumeration date
- Jan 28, 2011
- Last updated
- Jan 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Other names
- Columbia Chiropractic (Doing Business As)
Practice location
1550 N Main StColumbia, IL 62236-1070
Phone 618-281-6167 · Fax 618-281-4444
Mailing address
1550 N Main StColumbia, IL 62236-1070
Phone 618-281-6167 · Fax 618-281-4444
Authorized official
Laurie Robert Mestdagh
President
6182816167
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- Columbia Family Chiropractic, PLLCNPI 1558046664
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