South Lebanon Chiropractic Clinic INC

NPI #1720320054 in South Lebanon, Ohio

Provider Information

NPI Number: 1720320054
Entity Type: Organization
Organization Name: South Lebanon Chiropractic Clinic INC
Primary Specialty: Chiropractor
Enumeration Date: Mar 25, 2013
Last Updated: Mar 25, 2013

Practice Location

Address: 215 E FOREST AVE
City: South Lebanon
State: Ohio
ZIP Code: 45065-1311
Phone: (740) 876-8298

Authorized Official

Name: DR. THOMAS BOLERA, D.C.
Title: OWNER/OPERATOR
Phone: (740) 876-8298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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