Fremont Health Solutions LLC
Chiropractor, Independent Medical Examiner in Santa Rosa Beach, FL. Organization (NPI-2).
NPI number1982126181
StatusActive
Last updated in NPPESDec 9, 2022
Details
- NPI
- 1982126181
- Entity type
- Organization (NPI-2)
- Legal business name
- Fremont Health Solutions LLC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2017
- Certification date
- Dec 9, 2022
- Last updated
- Dec 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NI0013X | Chiropractor, Independent Medical Examiner | – | – | Yes |
| 111N00000X | Chiropractor | 60284738 | WA |
Other names
- The Chiropractic Clinic (Doing Business As)
- Dba The Chiropractic Clinic (Other Name)
Practice location
56 Spires LnUnit 13a
Santa Rosa Beach, FL 32459
Phone 850-830-5544 · Fax 888-791-3763
Mailing address
56 Spires LnUnit 13a
Santa Rosa Beach, FL 32459
Phone 850-830-5544 · Fax 888-791-3763
Authorized official
Joshua James Shideles
Owner/President
8508305544
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