Divine Chiropractic LLC
NPI #1457649857 in Loogootee, Indiana
Provider Information
- NPI Number
- 1457649857
- Entity Type
- Organization
- Organization Name
- Divine Chiropractic LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jul 19, 2011
- Last Updated
- Jul 19, 2011
Practice Location
Authorized Official
- Name
- JORDAN DIVINE
- Title
- MANAGER
- Phone
- (812) 295-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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