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PERFORMANCE CHIROPRACTIC AND SPORTS REHABILITATION LLC. NPI 1053850990


NPI Information

NPI: 1053850990
Provider Name: PERFORMANCE CHIROPRACTIC AND SPORTS REHABILITATION, LLC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
122 S 2ND ST
GREENVILLE, IL
ZIP 62246
Phone: (618) 690-5100
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PERFORMANCE CHIROPRACTIC AND SPORTS REHABILITATION, LLC. is a chiropractor in Greenville, 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. PERFORMANCE CHIROPRACTIC AND SPORTS REHABILITATION, LLC. NPI is 1053850990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

122 S 2ND ST
GREENVILLE, IL
ZIP 62246-723
Phone: (618) 690-5100
Fax: (618) 690-5101

The provider's authorized official is Neil Leon Micnheimer .
The authorized official title is Sole Owner and has the following contact phone number (618) 690-5100.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 2/13/2017.


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
1111N00000XChiropractor038013077ILYes

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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