1760780043 NPI number — BALLISTREA FAMILY CHIROPRACTIC LLC

Table of content: (NPI 1760780043)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760780043 NPI number — BALLISTREA FAMILY CHIROPRACTIC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BALLISTREA FAMILY CHIROPRACTIC 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:
1760780043
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/10/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7236 STATE ROAD 52
Provider Second Line Business Mailing Address:
SUITE 3
Provider Business Mailing Address City Name:
BAYONET POINT
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34667-6749
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-868-4444
Provider Business Mailing Address Fax Number:
727-868-2892

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7236 STATE ROAD 52
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
BAYONET POINT
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34667-6749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-868-4444
Provider Business Practice Location Address Fax Number:
727-868-2892
Provider Enumeration Date:
03/10/2011

Additional Information

Authorized Official

Authorized Official Last Name:
BALLISTREA
Authorized Official First Name:
STEPHEN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
727-868-4444

Provider Taxonomy Codes

  • Taxonomy code: 111NI0013X , with the licence number:  CH8075 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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