417 Performance Chiro Llc

LBN: 417 Performance Chiro Llc
417 Performance Chiro Llc is an health care organization with primary practice located at 4728 S Campbell Ave Ste 132 , Springfield MO 65810-1715. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. 417 Performance Chiro Llc can be contacted via phone (417) 597-3777, or through Bolin, Anthony C via phone (417) 425-2759.

Contact Information

Primary practice address
4728 S Campbell Ave Ste 132 Springfield MO 65810-1715
Phone: (417) 597-3777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bolin, Anthony C Doctor of Chiropractic (DC)
Phone: (417) 425-2759

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1770326480
LBN Legal business name 417 Performance Chiro Llc
DBA Doing business as
Authorized official Bolin, Anthony C Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2024
Last updated Jun 18th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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