Hill Avenue Chiropractic INC.
Chiropractor in Spirit Lake, IA. Organization (NPI-2).
NPI number1982175121
StatusActive
Last updated in NPPESDec 16, 2018
Details
- NPI
- 1982175121
- Entity type
- Organization (NPI-2)
- Legal business name
- Hill Avenue Chiropractic INC.
- Organization subpart
- No
- Enumeration date
- Dec 16, 2018
- Last updated
- Dec 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
1610 Hill AveSpirit Lake, IA 51360-1640
Phone 712-339-9778
Mailing address
1610 Hill AveSpirit Lake, IA 51360-1640
Phone 712-339-9778
Authorized official
Bradley Dean Poock
Chiropractor/ Ceo
7123300178
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