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TRI STATE PRECISION CLINIC OF CHIROPRACTIC INC NPI 1154886307


NPI Information

NPI: 1154886307
Provider Name: TRI STATE PRECISION CLINIC OF CHIROPRACTIC INC

Doing Business As: TRI-STATE CLINIC OF CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
229 W 2ND ST
MOUNT CARMEL, IL
ZIP 62863
Phone: (618) 262-2222
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TRI STATE PRECISION CLINIC OF CHIROPRACTIC INC is a chiropractor in Mount Carmel, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. TRI STATE PRECISION CLINIC OF CHIROPRACTIC INC NPI is 1154886307. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tri-state Clinic Of Chiropractic.

The provider's business location address is:

229 W 2ND ST
MOUNT CARMEL, IL
ZIP 62863-608
Phone: (618) 262-2222
Fax: (618) 262-2224

The provider's authorized official is Aileen Anne Delacruz .
The authorized official title is Sole Owner and has the following contact phone number (812) 629-8627.

The enumeration date for this NPI number is 2/1/2019 and was last updated on 3/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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