Callahan Chiropractic Clinic

Organization Active NPI Chiropractor · Callahan, FL

NPI 1629323829 · NPPES record last updated Jul 13, 2012

Key facts

NPI
1629323829
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
CH 1521 (FL)
Legal business name
CALLAHAN CHIROPRACTIC CLINIC
Practice address
542184 S. Kings Rd.
Suite 3B
Callahan, FL 32011-1107
Phone
(904) 879-2209
Fax
(904) 879-3709
NPI assigned
Jul 13, 2012
Organization subpart
No

Authorized official

Name
Dr. Daniel R. Weaver, D.C.
Title
Chiropractor/Owner
Phone
(904) 879-2209

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X CH 1521 FL Yes

Addresses

Primary practice location

542184 S. Kings Rd.
Suite 3B
Callahan, FL 32011-1107

Mailing address

PO Box 1107
Callahan, FL 32011-1107
Phone (904) 879-2209

Other providers in Callahan, FL

All providers in Callahan, FL · Chiropractor in Florida

Sources for this page

Verify at the official NPI Registry.