Provider Demographics
NPI:1235484122
Name:CHIROPRACTICALLY OURS, LLC
Entity Type:Organization
Organization Name:CHIROPRACTICALLY OURS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:CIRONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-588-8940
Mailing Address - Street 1:1717 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-6642
Mailing Address - Country:US
Mailing Address - Phone:516-588-8940
Mailing Address - Fax:
Practice Address - Street 1:1717 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-6642
Practice Address - Country:US
Practice Address - Phone:516-588-8940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2559111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty