Headwaters Chiropractic Center LLC

NPI #1821499864 in Bemidji, Minnesota

Provider Information

NPI Number: 1821499864
Entity Type: Organization
Organization Name: Headwaters Chiropractic Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 9, 2014
Last Updated: Jan 15, 2015

Practice Location

Address: 1426 BEMIDJI AVE N
Address 2: SUITE 2
City: Bemidji
State: Minnesota
ZIP Code: 56601
Phone: (218) 333-8811

Authorized Official

Name: DR. ERIC JACQUES LEVESQUE, DC
Title: OWNER
Phone: (218) 333-8811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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