1093892309 NPI number — STOCKDALE CHIROPRACTIC CLINIC, INC

Table of content: (NPI 1093892309)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093892309 NPI number — STOCKDALE CHIROPRACTIC CLINIC, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STOCKDALE CHIROPRACTIC CLINIC, 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:
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:
1093892309
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7916 HILLIARD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89128-6782
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-747-1210
Provider Business Mailing Address Fax Number:
702-242-0257

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4550 COFFEE RD
Provider Second Line Business Practice Location Address:
STE. H
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93308-5023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-587-0700
Provider Business Practice Location Address Fax Number:
661-587-0799
Provider Enumeration Date:
11/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TRYGGESTAD
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
ERIC
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
661-587-0700

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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