Organization
BACK TO CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE LYNN LEER DC, BS (OWNER)
(260) 341-4457
Entity
Organization
Contact information
Practice address
208 E WHITLEY ST, CHURUBUSCO, IN 46723-1506
(260) 341-4457
Mailing address
10913 BALDHAM PASS, FORT WAYNE, IN 46845-8764
(260) 341-4457
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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