Organization
TOTAL BODY CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAD ALAN FOSTER D.C. (OWNER)
(419) 238-6686
Entity
Organization
Contact information
Practice address
415 E KIRACOFE AVE, ELIDA, OH 45807-1031
(419) 227-2639
(419) 227-2640
Mailing address
10963 VAN WERT DECATUR RD, VAN WERT, OH 45891-9211
(419) 238-6686
(419) 238-6201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2813781
—
OH
Enumeration date
09/20/2006
Last updated
01/19/2011
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