Organization
CHAMPION CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MARIE HAINES DC (OWNER)
(412) 779-6745
Entity
Organization
Contact information
Practice address
7135 SYLVANIA AVE, BLDG 1-B, SYLVANIA, OH 43560-5510
(419) 841-3273
Mailing address
2300 FAWN HOLLOW RD, TOLEDO, OH 43617-1859
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3855
OH
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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