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Organization

SUMMIT CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN MICHAEL THIBODEAU II DC (PRINCIPAL CREATOR/OWNER OF LLC)
(401) 575-1771
Entity
Organization

Contact information

Practice address
168 MORGAN AVE, JOHNSTON, RI 02919-6519
(401) 575-1771
Mailing address
168 MORGAN AVE, JOHNSTON, RI 02919-6519
(401) 575-1771

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
08/28/2025
Last updated
08/28/2025
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