Organization
CHIROPRACTIC CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD ALAN SHALLOW DC (OWNER)
(910) 231-3457
Entity
Organization
Contact information
Practice address
120 S WOODLAND BLVD, SUITE B, DELAND, FL 32720-5445
(386) 734-1404
Mailing address
120 S WOODLAND BLVD, SUITE B, DELAND, FL 32720-5445
(386) 734-1404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/24/2015
Last updated
04/21/2015
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