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Organization

FREEDOM CHIROPRACTIC, LLC

Active
Other names
BacksRUs
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A PHILLIPS DC (DOCTOR OF CHIROPRACTIC)
(937) 615-1111
Entity
Organization

Contact information

Practice address
1555 COVINGTON AVENUE, SUITE 1A, PIQUA, OH 45356
(937) 615-1111
(937) 615-1110
Mailing address
1555 COVINGTON AVENUE, SUITE 1A, PIQUA, OH 45356
(937) 615-1111
(937) 615-1110

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3675
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11384830
CAQH PROVIDER NUMBER
OH
Enumeration date
04/23/2007
Last updated
04/13/2022
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