Organization
BOLD LIFE CHIROPRACTIC, LLC
Active
Other names
Complete Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA P WHITE DC (PRESIDENT)
(334) 356-5571
Entity
Organization
Contact information
Practice address
427 E MAIN ST, PRATTVILLE, AL 36067-3409
(334) 356-5571
(334) 730-0971
Mailing address
427 E MAIN ST, PRATTVILLE, AL 36067-3409
(334) 356-5571
(334) 730-0971
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1145
PTAN
—
Enumeration date
08/16/2013
Last updated
02/26/2019
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