Organization
FREEDOM FAMILY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB MICHAEL SHUPPE D.C. (OWNER/DOCTOR)
(563) 275-8719
Entity
Organization
Contact information
Practice address
1330 5TH AVE, SUITE 130, GARNER, NC 27529-3638
(563) 275-8719
Mailing address
1330 5TH AVE, SUITE 130, GARNER, NC 27529-3638
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4449
NC
Other
Enumeration date
09/16/2014
Last updated
11/19/2014
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