Organization Name: | CHIROPRACTIC WELLNESS CENTER OF GOSHEN, PC |
NPI Number: | 1174611792 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAXIM I IVANOV (OWNER) |
Mailing Address: | 401 E Madison St Goshen |
State: | IN US |
Postal Code: | 465263431 |
Phone Number: | 5745337363 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |