1538674387 NPI number — KATHERINE HIPP CHIROPRACTIC, INC.

Table of content: DR. LOUIS FUERTES BOYNTON II PHD. (NPI 1780046300)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538674387 NPI number — KATHERINE HIPP CHIROPRACTIC, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KATHERINE HIPP CHIROPRACTIC, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DR. HIPP'S CHIROPRACTIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538674387
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/01/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
133 KEARNY ST STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94108-4811
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-500-2858
Provider Business Mailing Address Fax Number:
415-590-7462

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
133 KEARNY ST STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94108-4811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-500-2858
Provider Business Practice Location Address Fax Number:
415-590-7462
Provider Enumeration Date:
12/01/2017

Additional Information

Authorized Official

Authorized Official Last Name:
HIPP
Authorized Official First Name:
KATIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT, OWNER
Authorized Official Telephone Number:
415-500-2858

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  DC29035 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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