Fountain Of Life Chiropractic Pc

NPI 1710323993 - Chiropractor - 111N00000X

NPI Details
NPI 1710323993
Enumeration Date 05/15/2013
Last Updated 05/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JUSTIN NICHOLAS JUSTIN
Position PRESIDENT/OWNER
Phone (231) 347-1776
Fax (231) 347-1778
Practice Location
267 CREEKSIDE DR
SUITE 100
PETOSKEY MI, 49770-7609, US
Phone (231) 347-1776
Fax (231) 347-1778
Business Location
267 CREEKSIDE DR
SUITE 100
PETOSKEY MI, 49770-7609, US
Phone (231) 347-1776
Fax (231) 347-1778
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Fountain Of Life Chiropractic Pc NPI is 1710323993, taxonomy code is 111N00000X Fountain Of Life Chiropractic Pc physically located at 267 Creekside Dr, Petoskey MI, 49770-7609. NPI Number 1033115704 has the healthcare provider type.

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1710323993 NPI number is provided on an as is basis without warranty of any kind. 1710323993 is maintained by the National Plan & Provider Enumeration System. The contents of Fountain Of Life Chiropractic Pc are for informational purposes only.