# INCLEDON CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Incledon John Single Member
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194976399
- **Authorized official:** DR. JOHN DONALD INCLEDON JR. D.C. (SINGLE MEMBER)
- **Authorized official phone:** (845) 897-2402

## Contact information

- **Practice address:** 997 MAIN ST, FISHKILL, NY 12524-1790
- **Practice address phone:** (845) 897-2402
- **Practice address fax:** (845) 897-2410
- **Mailing address:** 997 MAIN ST, FISHKILL, NY 12524-1790
- **Mailing address phone:** (845) 897-2402
- **Mailing address fax:** (845) 897-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 004715 | NY | Yes |

## Other

- **Enumeration date:** 10/06/2008
- **Last updated:** 10/06/2008