Organization
CHIROPRACTIC CENTER FOR HEALTHY LIVING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT JAMES MULLENMEISTER D.C. (OWNER/CHIROPRACTOR)
(605) 996-1160
Entity
Organization
Contact information
Practice address
1415 WEST HAVENS STREET, SUITE 3, MITCHELL, SD 57301-4116
(605) 996-1160
(605) 996-6433
Mailing address
1415 WEST HAVENS STREET, SUITE 3, MITCHELL, SD 57301-4116
(605) 996-1160
(605) 996-6433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1039
SD
111NN0400X
Neurology Chiropractor
050115
FL
111NN0400X
Neurology Chiropractor
1040
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42563
GROUP PIN
SD
01
—
SD00722
EID
SD
Enumeration date
02/08/2008
Last updated
03/27/2012
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