Provider Demographics
NPI:1821347972
Name:FLORA CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FLORA CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MURBARGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-662-2334
Mailing Address - Street 1:432 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:FLORA
Mailing Address - State:IL
Mailing Address - Zip Code:62839-1243
Mailing Address - Country:US
Mailing Address - Phone:618-662-2334
Mailing Address - Fax:618-662-2332
Practice Address - Street 1:432 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:FLORA
Practice Address - State:IL
Practice Address - Zip Code:62839-1243
Practice Address - Country:US
Practice Address - Phone:618-662-2334
Practice Address - Fax:618-662-2332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012169261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center