Organization
HEADWATERS CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JACQUES LEVESQUE DC (OWNER)
(218) 333-8811
Entity
Organization
Contact information
Practice address
1426 BEMIDJI AVE N, SUITE 2, BEMIDJI, MN 56601
(218) 333-8811
(218) 333-8813
Mailing address
1426 BEMIDJI AVE N, SUITE 2, BEMIDJI, MN 56601
(218) 333-8811
(218) 333-8813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
01/15/2015
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