Provider Demographics
NPI:1225470875
Name:BORROWMAN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BORROWMAN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BORROWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:217-370-2467
Mailing Address - Street 1:39702 252ND AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62363-2347
Mailing Address - Country:US
Mailing Address - Phone:217-370-2467
Mailing Address - Fax:
Practice Address - Street 1:39702 252ND AVE
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:IL
Practice Address - Zip Code:62363-2347
Practice Address - Country:US
Practice Address - Phone:217-370-2467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty