Individual provider · Type 1 NPI

Maxim I. Ivanov, DC

Chiropractor · Goshen, IN

NPI number 1669560280 Active

Practice location

401 E Madison St
Goshen, IN 46526-3431

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X08002243A (IN)

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 1669560280

Maxim I. Ivanov, DC's National Provider Identifier is 1669560280, issued on Oct 10, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Goshen, IN. The record was last updated on Jul 8, 2007.