Organization Name: | LISBON CHIROPRACTIC CLINIC PLLC |
NPI Number: | 1285627521 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COREY CLARK WILLIAMS (OWNER) |
Mailing Address: | 906 Main St Lisbon |
State: | ND US |
Postal Code: | 580544333 |
Phone Number: | 7016834582 |
Fax Number: | 7016835814 |
NPI Enumeration Date: | 08/23/2005 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 640 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ND |
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. |