Provider Demographics
NPI:1780400762
Name:LIFE FORCE CHIROPRACTIC
Entity type:Organization
Organization Name:LIFE FORCE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLIN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SCHILTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-371-5354
Mailing Address - Street 1:101 GILLESPIE DR APT 4106
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7525
Mailing Address - Country:US
Mailing Address - Phone:515-371-5354
Mailing Address - Fax:
Practice Address - Street 1:7127 CROSSROADS BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2827
Practice Address - Country:US
Practice Address - Phone:515-371-5354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty