Obsidian Chiropractic, Llc

LBN: Obsidian Chiropractic, Llc
Obsidian Chiropractic, Llc is an health care organization with primary practice located at 2504 Ardmore St Se Ste 102 , Grand Rapids MI 49506-4901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Obsidian Chiropractic, Llc can be contacted via phone (850) 218-0677, or through Austin, Charles Justin via phone (850) 218-0677.

Contact Information

Primary practice address
2504 Ardmore St Se Ste 102 Grand Rapids MI 49506-4901
Phone: (850) 218-0677
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Austin, Charles Justin Doctor of Chiropractic (DC)
Phone: (850) 218-0677

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1154967651
LBN Legal business name Obsidian Chiropractic, Llc
DBA Doing business as
Authorized official Austin, Charles Justin Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2019
Last updated Nov 20th, 2019 - about 5 years 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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