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ST. JOHNS CHIROPRACTIC LLC NPI 1891383444


NPI Information

NPI: 1891383444
Provider Name: ST. JOHNS CHIROPRACTIC, LLC

Doing Business As: ST. JOHNS SPORT AND SPINE CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
155 BARTRAM MARKET DR STE 113
ST JOHNS, FL
ZIP 32259
Phone: (904) 290-1312
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ST. JOHNS CHIROPRACTIC, LLC is a chiropractor in St Johns, FL. 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. ST. JOHNS CHIROPRACTIC, LLC NPI is 1891383444. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Johns Sport And Spine Chiropractic.

The provider's business location address is:

155 BARTRAM MARKET DR STE 113
ST JOHNS, FL
ZIP 32259-582
Phone: (904) 290-1312

The provider's authorized official is Chase Daniel Vanderpol .
The authorized official title is Owner and has the following contact phone number (970) 319-7397.

The enumeration date for this NPI number is 1/8/2021 and was last updated on 5/19/2022.


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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