Nixas Main Street Chiropractic LLC

NPI #1316192172 in Nixa, Missouri

Provider Information

NPI Number: 1316192172
Entity Type: Organization
Organization Name: Nixas Main Street Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 20, 2008
Last Updated: Nov 20, 2008

Practice Location

Address: 106 W SHERMAN WAY
Address 2: SUITE 1
City: Nixa
State: Missouri
ZIP Code: 65714-7620
Phone: (417) 724-9994

Authorized Official

Name: DR. BRIAN LEIGH PARKER, B,SC,D.C.
Title: OWNER
Phone: (417) 724-9994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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