Organization
COLDWATER CHIROPRACTIC CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERON BLASINGAME (MANAGER/OWNER)
(419) 678-7746
Entity
Organization
Contact information
Practice address
201 N MILL ST, COLDWATER, OH 45828-1219
(419) 678-7746
(419) 678-1327
Mailing address
201 N MILL ST, COLDWATER, OH 45828-1219
(419) 678-7746
(419) 678-1327
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2441
OH
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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