Organization
FREEPORT FAMILY CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LOGAN LAIRD D.C (OWNER)
(850) 835-9867
Entity
Organization
Contact information
Practice address
40 WASHINGTON ST., FREEPORT, FL 32439
(850) 835-9867
(850) 880-6089
Mailing address
40 WASHINGTON ST., FREEPORT, FL 32439
(850) 835-9867
(850) 880-6089
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76145
BCBS
FL
Enumeration date
06/29/2007
Last updated
02/20/2008
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