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Mr. Dale E Mortenson, DC
Chiropractor in Lynn Haven, Florida
NPI 1629149612

Dale E Mortenson is a Chiropractor based in Lynn Haven, FL. Dale E Mortenson practices in Lynn Haven, FL and has the professional credentials of DC. The NPI Number for Dale E Mortenson is 1629149612 and holds a License No. CH4624 (Florida).

The current practice location address for Dale E Mortenson is 1101 Ohio Ave, Lynn Haven, FL and can be reached out via phone at 850-265-6163 and via fax at 850-265-4059.

Location: 1101 Ohio Ave, Lynn Haven, FL, 32444-6960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629149612
Provider Name
Dale E Mortenson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1101 Ohio Ave, Lynn Haven, FL, 32444-6960
Phone Number
850-265-6163
Fax Number
850-265-4059
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70497 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
1101 Ohio Ave
City
Lynn Haven
State
Florida
Zip
32444-2554
Phone Number
850-265-6163
Fax Number
850-265-4059
person
Provider Business Mailing Address Details
Address
1101 Ohio Ave
City
Lynn Haven
State
Florida
Zip
32444-2554
Phone Number
850-265-6163
Fax Number
850-265-4059
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH4624 (Florida)
Definition
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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