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BECK CHIROPRACTIC PROFESSIONAL CORPORATION NPI 1205072782


NPI Information

NPI: 1205072782
Provider Name: BECK CHIROPRACTIC PROFESSIONAL CORPORATION

Doing Business As: BECK CHIROPRACTIC PC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6 PETALUMA BLVD N STE B8
PETALUMA, CA
ZIP 94952
Phone: (707) 766-6363
Get Directions

BECK CHIROPRACTIC PROFESSIONAL CORPORATION is a chiropractor in Petaluma, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BECK CHIROPRACTIC PROFESSIONAL CORPORATION NPI is 1205072782. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Beck Chiropractic Pc.

The provider's business location address is:

6 PETALUMA BLVD N STE B8
PETALUMA, CA
ZIP 94952-051
Phone: (707) 766-6363
Fax: (707) 766-6218

The provider's authorized official is Jason P Beck .
The authorized official title is President and has the following contact phone number (707) 766-6363.

The enumeration date for this NPI number is 1/5/2009 and was last updated on 9/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC 28208CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11700813540OTHERCALIFORNIAINDIVIDUAL NPI #
2ZZZ021402OTHERCALIFORNIAGROUP PTAM #
3DC028080OTHERCALIFORNIAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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