417 Performance Chiro LLC

Chiropractor · Springfield, MO

Organization Active NPI

NPI number 1770326480

Practice location

4728 S Campbell Ave Ste 132
Springfield, MO 65810-1715
Phone
(417) 597-3777

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NPI record

NPI
1770326480
Entity type
Organization (Type 2)
Enumeration date
June 18, 2024
Last updated
June 18, 2024
Certified
June 18, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X — —

Authorized official

Name
Dr. Anthony C Bolin II, DC
Title
Director/Doctor
Phone
(417) 425-2759

About 417 Performance Chiro LLC

417 Performance Chiro LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 4728 S Campbell Ave Ste 132, Springfield, MO 65810-1715. The NPI number 1770326480 was assigned on June 18, 2024 and the record was last updated on June 18, 2024.

The authorized official for this organization is Dr. Anthony C Bolin II, DC, Director/Doctor.

Frequently asked questions

What is the NPI number of 417 Performance Chiro LLC?

The NPI number is 1770326480.

What is the phone number of 417 Performance Chiro LLC?

The phone number listed for the practice location is (417) 597-3777.

Where is 417 Performance Chiro LLC located?

4728 S Campbell Ave Ste 132, Springfield, MO 65810-1715.

What is the taxonomy code for 417 Performance Chiro LLC?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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