Individual provider · Type 1 NPI
Chase Stephen Fifarek, DC
Chiropractor · Port Charlotte, FL
NPI number
1124369178
Active
Practice location
12479 S Access Rd Ste 1
Port Charlotte, FL 33981-6206
Mailing address
1104 L Pavia Blvd
Venice, FL 34292-5327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH10825 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1124369178
Chase Stephen Fifarek, DC's National Provider Identifier is 1124369178, issued on Mar 14, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Charlotte, FL. The record was last updated on Mar 14, 2013.