Provider Demographics
NPI:1164832762
Name:THE ADJUSTMENT BUREAU PC
Entity Type:Organization
Organization Name:THE ADJUSTMENT BUREAU PC
Other - Org Name:SMITH CHIROPRACTIC AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MS,DC
Authorized Official - Phone:618-322-5219
Mailing Address - Street 1:322 W SCHWARTZ ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IL
Mailing Address - Zip Code:62881-1550
Mailing Address - Country:US
Mailing Address - Phone:618-548-1136
Mailing Address - Fax:
Practice Address - Street 1:322 W SCHWARTZ ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:IL
Practice Address - Zip Code:62881-1550
Practice Address - Country:US
Practice Address - Phone:618-548-1136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty