1942474978 NPI number — MIDDLETON CHIROPRACTIC

Table of content: (NPI 1942474978)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942474978 NPI number — MIDDLETON CHIROPRACTIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIDDLETON CHIROPRACTIC
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:
Provider Other Organization Name Type Code:
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:
1942474978
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 292
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COMER
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30629-0292
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
709-795-0294
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1960 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COMER
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30629-3712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-795-0294
Provider Business Practice Location Address Fax Number:
706-795-0295
Provider Enumeration Date:
04/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MIDDLETON
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
CIROU
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
706-795-0294

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CHIR001918 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1275552317 . This is a "NPI" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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