Organization
EASTERN SHORE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WETZEL D.C. (PRESIDENT)
(251) 625-1920
Entity
Organization
Contact information
Practice address
1 TIMBERWAY SUITE 203, SUITE 203, DAPHNE, AL 36526
(251) 625-1920
Mailing address
1 TIMBERWAY, SUITE 203, DAPHNE, AL 36526
(251) 625-1920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1513
AL
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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