1679992564 NPI number — BRAITHWAITE CHIROPRACTIC, INC.

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 1679992564 NPI number — BRAITHWAITE CHIROPRACTIC, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRAITHWAITE 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:
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:
1679992564
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12501 SEAL BEACH BLVD
Provider Second Line Business Mailing Address:
SUITE 160
Provider Business Mailing Address City Name:
SEAL BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90740-2763
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-596-6000
Provider Business Mailing Address Fax Number:
562-596-6040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12501 SEAL BEACH BLVD
Provider Second Line Business Practice Location Address:
SUITE 160
Provider Business Practice Location Address City Name:
SEAL BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90740-2763
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-596-6000
Provider Business Practice Location Address Fax Number:
562-596-6040
Provider Enumeration Date:
04/08/2014

Additional Information

Authorized Official

Authorized Official Last Name:
BRAITHWAITE
Authorized Official First Name:
SEAN
Authorized Official Middle Name:
MARITN
Authorized Official Title or Position:
DOCTOR/OWNER
Authorized Official Telephone Number:
562-596-6000

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  32211 , 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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