1255629069 NPI number — PATTERSON FAMILY CHIROPRACTIC CLINIC LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255629069 NPI number — PATTERSON FAMILY CHIROPRACTIC CLINIC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PATTERSON FAMILY CHIROPRACTIC CLINIC LLC
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:
1255629069
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/13/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1010 N TENNESSEE ST
Provider Second Line Business Mailing Address:
SUITE NUMBER 116
Provider Business Mailing Address City Name:
CARTERSVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30120-8525
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-383-9605
Provider Business Mailing Address Fax Number:
770-383-9606

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1010 N TENNESSEE ST
Provider Second Line Business Practice Location Address:
SUITE NUMBER 116
Provider Business Practice Location Address City Name:
CARTERSVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30120-8525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-383-9605
Provider Business Practice Location Address Fax Number:
770-383-9606
Provider Enumeration Date:
07/13/2011

Additional Information

Authorized Official

Authorized Official Last Name:
PATTERSON
Authorized Official First Name:
MARK
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
770-383-9605

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CHIROO8815 , 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)





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