Provider Demographics
NPI:1730628355
Name:CORE CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:CORE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:TUREK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-419-6636
Mailing Address - Street 1:901 N CONGRESS AVE
Mailing Address - Street 2:SUITE D 104
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3316
Mailing Address - Country:US
Mailing Address - Phone:561-419-6636
Mailing Address - Fax:
Practice Address - Street 1:901 N CONGRESS AVE
Practice Address - Street 2:SUITE D 104
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3316
Practice Address - Country:US
Practice Address - Phone:561-419-6636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty