100Yeardoc, Llc

LBN: 100Yeardoc, Llc
100Yeardoc, Llc is an health care organization with primary practice located at 1135 S Marietta Pkwy Se , Marietta GA 30060-2830. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. 100Yeardoc, Llc can be contacted via phone (770) 422-9288, or through Wilson, Joshua M via phone (770) 422-9288.

Contact Information

Primary practice address
1135 S Marietta Pkwy Se Marietta GA 30060-2830
Phone: (770) 422-9288
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Joshua M Doctor of Chiropractic (DC)
Phone: (770) 422-9288

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1194291021
LBN Legal business name 100Yeardoc, Llc
DBA Doing business as
Authorized official Wilson, Joshua M Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2018
Last updated Oct 22nd, 2018 - about 8 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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