Provider Demographics
NPI:1295166528
Name:UNITY CHIROPRACTIC NEUROLOGY LLC
Entity type:Organization
Organization Name:UNITY CHIROPRACTIC NEUROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:KAE
Authorized Official - Last Name:MUSSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-764-3170
Mailing Address - Street 1:12412 SAN JOSE BLVD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-8621
Mailing Address - Country:US
Mailing Address - Phone:419-764-3170
Mailing Address - Fax:
Practice Address - Street 1:12412 SAN JOSE BLVD
Practice Address - Street 2:SUITE 404
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-8621
Practice Address - Country:US
Practice Address - Phone:419-764-3170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty