Organization
NETHERLAND ENTERPRISES, INC.
Active
Other names
Netherland Chiropractic Clinic, Quitman Chiropractic clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T NETHERLAND D.C. (PRESIDENT)
(601) 399-2902
Entity
Organization
Contact information
Practice address
1309B HIGHWAY 15 N, LAUREL, MS 39440-2652
(601) 399-2902
(601) 776-3512
Mailing address
PO BOX 270, QUITMAN, MS 39355-0270
(601) 399-2902
(601) 776-3512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
837
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120050
—
MS
01
—
426964976B
BLUE CROSS
MS
01
—
426964976D
BLUE CROSS
MS
Enumeration date
01/25/2007
Last updated
10/20/2010
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