Tucker Chiropractic, A Professional Corporation

NPI 1073564753 - Chiropractor - 111N00000X

NPI Details
NPI 1073564753
Enumeration Date 05/15/2006
Last Updated 01/04/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CASEY L CASEY
Position CEO
Phone (707) 526-9355
Fax (707) 526-9081
Practice Location
1211 COLLEGE AVE
SANTA ROSA CA, 95404-3907, US
Phone (707) 526-9355
Fax (707) 526-9081
Business Location
1211 COLLEGE AVE
SANTA ROSA CA, 95404-3907, US
Phone (707) 526-9355
Fax (707) 526-9081
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number COR2838
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According to our database, Tucker Chiropractic, A Professional Corporation NPI is 1073564753, taxonomy code is 111N00000X and license number is COR2838, license state is located at California. Tucker Chiropractic, A Professional Corporation physically located at 1211 College Ave, Santa Rosa CA, 95404-3907. NPI Number 1033115704 has the healthcare provider type.

1073564753 NPI number is provided on an as is basis without warranty of any kind. 1073564753 is maintained by the National Plan & Provider Enumeration System. The contents of Tucker Chiropractic, A Professional Corporation are for informational purposes only.