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General NPI Number Information
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NPI Number | 1417277443
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Entity Type | Organization
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Legal Business Name | SPEES CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 510 E SPRING ST
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City | SAINT MARYS
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State | OH
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Zip | 45885-2342
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Country | US
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Telephone | 419-300-9790
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Fax | 419-300-9789
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Provider Business Mailing Address
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Address Line | 510 E SPRING ST
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City | SAINT MARYS
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State | OH
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Zip | 45885-2342
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Country | US
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Telephone | 419-300-9790
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Fax | 419-300-9789
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT JAMES SPEES
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Credential | DC
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Telephone | 419-300-9790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1889600
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License Number State | OH
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