MICHAELSEN CHIROPRACTIC CENTER, P.C.
Chiropractic at Broadway Ave, Tyler, TX

License number
Texas F002316
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. MARK R MICHAELSEN D.C.
Title: PRESIDENT
Phone: (903) 593-5200
Address
Address
645 S Broadway Ave SUITE 1, Tyler, TX 75701
National Provider ID: 1053597906
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAELSEN CHIROPRACTIC CENTER, PC

Tyler, TX

Industry:
Chiropractor's Office
Doing business as:
Michaelsen Chiropractic Center, PC
Registration:
Sep 24, 1991
Phone:
(903) 593-5200 (Phone), (903) 535-9412 (Fax)
Addresses:
645 S Broadway Ave STE 1, Tyler, TX 75701 (Mailing)
703 S Beckham Ave, Tyler, TX 75701
State ID:
0091676402
Business type:
Domestic Professional Corporation
DIRECTOR, Owner, Director, Vice Presidents:
Mark R Michaelsen (DIRECTOR, Owner, President, Director), 703 S Beckham, Tyler, TX 75701,Tammy L Michaelsen (DIRECTOR, Owner, Director, Vice President), 703 S Beckham, Tyler, TX 75701
Agent:
Mark Randall Michaelsen,703 S Bekcham, Tyler, TX 75701 (Physical)
TIN:
17523951436

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