Southpark Chiropractic Wellness Center, Llc

LBN: Southpark Chiropractic Wellness Center, Llc
Southpark Chiropractic Wellness Center, Llc is an health care organization with primary practice located at 1529 46Th Ave Suite 4, Moline IL 61265-7084. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Southpark Chiropractic Wellness Center, Llc can be contacted via phone (309) 757-7100, or through Fixen, Lee via phone (309) 757-7100.

Contact Information

Primary practice address
1529 46Th Ave Suite 4 Moline IL 61265-7084
Phone: (309) 757-7100
Fax: (309) 757-7111
Website:
Map and Directions
Authorized official contact:
Name: Fixen, Lee Doctor of Chiropractic (DC)
Phone: (309) 757-7100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 038011683 Illinois

Profile Details

NPI number 1972893121
LBN Legal business name Southpark Chiropractic Wellness Center, Llc
DBA Doing business as
Authorized official Fixen, Lee Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2011
Last updated Apr 8th, 2011 - about 15 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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