Pine Valley Chiropractic, Llc

NPI 1225441231 - Chiropractor - 111N00000X

NPI Details
NPI 1225441231
Enumeration Date 06/06/2014
Last Updated 06/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ISAAC ISAAC
Position OWNER
Phone (352) 514-0767
Fax
Practice Location
10330 COLDWATER RD
FORT WAYNE IN, 46825-2033, US
Phone (352) 514-0767
Fax
Business Location
921 SHERWOOD DR
FORT WAYNE IN, 46819-2276, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Indiana
License Number 08002736A
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According to our database, Pine Valley Chiropractic, Llc NPI is 1225441231, taxonomy code is 111N00000X and license number is 08002736A, license state is located at Indiana. Pine Valley Chiropractic, Llc physically located at 10330 Coldwater Rd, Fort Wayne IN, 46825-2033. NPI Number 1033115704 has the healthcare provider type.

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1225441231 NPI number is provided on an as is basis without warranty of any kind. 1225441231 is maintained by the National Plan & Provider Enumeration System. The contents of Pine Valley Chiropractic, Llc are for informational purposes only.