Justin Nicholas Fountain D.C.

NPI 1659677417 - Chiropractor - 111N00000X

NPI Details
NPI 1659677417
Gender Male
Enumeration Date 01/26/2011
Last Updated 03/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
156 W M134
CEDARVILLE MI, 49719-9781, US
Phone (906) 484-1034
Fax (906) 484-1064
Business Location
PO BOX 93
156 W M134
CEDARVILLE MI, 49719-0093, US
Phone (906) 484-1034
Fax (906) 484-1064
Toxanomy
Taxonomy Code 111N00000X
License State Michigan
License Number 2301009700
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According to our database, Dr. Justin Nicholas Fountain D.C. NPI is 1659677417, taxonomy code is 111N00000X and license number is 2301009700, license state is located at Michigan. Justin Nicholas Fountain D.C. physically located at 156 W M134, Cedarville MI, 49719-9781. NPI Number Justin Nicholas Fountain D.C. has the Individual type.

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1659677417 NPI number is provided on an as is basis without warranty of any kind. 1659677417 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Nicholas Fountain D.C. are for informational purposes only.