| Haven Chiropractic Care, Pc | |
|
102 Willow Dr Ste A O Fallon IL 62269-1073 | |
| (618) 799-0690 | |
| Not Available |
| Full Name | Haven Chiropractic Care, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 102 Willow Dr Ste A, O Fallon, Illinois |
| Authorized Official Name and Position | Randi Tyler (PRESIDENT) |
| Authorized Official Contact | 6187990690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Chiropractic Care, Pc 102 Willow Dr Ste A O Fallon IL 62269-1073 Ph: (618) 799-0690 | Haven Chiropractic Care, Pc 102 Willow Dr Ste A O Fallon IL 62269-1073 Ph: (618) 799-0690 |
| NPI Number | 1205600863 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205600863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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