Maine Street Chiropractic

NPI 1114977204 - Chiropractor - 111N00000X

NPI Details
NPI 1114977204
Enumeration Date 05/11/2006
Last Updated 10/24/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GARY GARY
Position OWNER
Phone (217) 222-2225
Fax
Practice Location
1836 MAINE ST
QUINCY IL, 62301-4232, US
Phone (217) 222-2225
Fax
Business Location
1836 MAINE ST
QUINCY IL, 62301-4232, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Maine Street Chiropractic NPI is 1114977204, taxonomy code is 111N00000X Maine Street Chiropractic physically located at 1836 Maine St, Quincy IL, 62301-4232. NPI Number 1033115704 has the healthcare provider type.

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1114977204 NPI number is provided on an as is basis without warranty of any kind. 1114977204 is maintained by the National Plan & Provider Enumeration System. The contents of Maine Street Chiropractic are for informational purposes only.