California Chiropractic Wellness Corporation

NPI 1194079194 - Chiropractor - 111N00000X

NPI Details
NPI 1194079194
Enumeration Date 10/30/2012
Last Updated 10/30/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TIMOTHY ALAN TIMOTHY
Position CHIEF EXECUTIVE OFFICER
Phone (408) 960-4236
Fax
Practice Location
6839 FIVE STAR BLVD
SUITE F
ROCKLIN CA, 95677, US
Phone (408) 960-4236
Fax
Business Location
6839 FIVE STAR BLVD
SUITE F
ROCKLIN CA, 95677, US
Phone (408) 960-4236
Fax
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number DC-31678
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According to our database, California Chiropractic Wellness Corporation NPI is 1194079194, taxonomy code is 111N00000X and license number is DC-31678, license state is located at California. California Chiropractic Wellness Corporation physically located at 6839 Five Star Blvd, Rocklin CA, 95677. NPI Number 1033115704 has the healthcare provider type.

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1194079194 NPI number is provided on an as is basis without warranty of any kind. 1194079194 is maintained by the National Plan & Provider Enumeration System. The contents of California Chiropractic Wellness Corporation are for informational purposes only.