Organization
DYNAMIC SPINE AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK LEFFLER DC (PRESIDENT)
(574) 457-7472
Entity
Organization
Contact information
Practice address
106 E PICKWICK DR, SYRACUSE, IN 46567-1713
(574) 457-7472
(574) 457-7103
Mailing address
PO BOX 91, SYRACUSE, IN 46567-0091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002619A
IN
111N00000X
Chiropractor
08002928A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300001553
—
IN
Enumeration date
02/23/2012
Last updated
07/18/2017
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