Organization
NORTHEASTERN SPINE AND SPORT CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN OWEN (OWNER/CHIROPRACTOR)
(443) 684-0834
Entity
Organization
Contact information
Practice address
216 N MCMORRINE ST, ELIZABETH CITY, NC 27909-4410
(252) 580-1231
Mailing address
3519 UNION ST, ELIZABETH CITY, NC 27909-7000
(443) 684-0834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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