American Chiropractic Wellness Center

NPI 1104183201 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1104183201
Enumeration Date 04/13/2012
Last Updated 02/23/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHAEL LANE MICHAEL
Position OWNER
Phone (805) 371-6144
Fax (805) 371-6148
Practice Location
1325 E. THOUSAND OAKS BLVD #104
THOUSAND OAKS CA, 91362, US
Phone (805) 371-6144
Fax (805) 371-6148
Business Location
1325 E. THOUSAND OAKS BLVD #104
THOUSAND OAKS CA, 91362, US
Phone (805) 371-6144
Fax (805) 371-6148
Toxanomy
Taxonomy Code 305R00000X
License State California
License Number DC27804
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According to our database, American Chiropractic Wellness Center NPI is 1104183201, taxonomy code is 305R00000X and license number is DC27804, license state is located at California. American Chiropractic Wellness Center physically located at 1325 E. Thousand Oaks Blvd #104, Thousand Oaks CA, 91362. NPI Number 1033115704 has the healthcare provider type.

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1104183201 NPI number is provided on an as is basis without warranty of any kind. 1104183201 is maintained by the National Plan & Provider Enumeration System. The contents of American Chiropractic Wellness Center are for informational purposes only.