CHARLES A. SAENZ (SAENZ CHIROPRACTIC OFFICE) - NPI NUMBER 1598780280

Summary

Provider Name: CHARLES A. SAENZ (SAENZ CHIROPRACTIC OFFICE)

NPI Number: 1598780280

Clasification: Chiropractor (111N00000X)

Address:
601 16TH ST
MODESTO, CA
ZIP 95354

Phone Number: (209) 526-1288



Detailed Information

CHARLES A. SAENZ is a chiropractor in Modesto, 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. The assigned NPI number for this provider is 1598780280 and is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Saenz Chiropractic Office.

The provider's business address is:

601 16TH ST
MODESTO, CA
ZIP 95354-516
Phone: (209) 526-1288
Fax: (209) 338-0397

The provider's authorized official is Charles Alan Saenz .
The authorized official title is Owner and has the following contact phone number (209) 526-1288.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 111N00000X Chiropractor 16509 CA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 T06162 MEDICARE UPIN CA
2 DC0165090 MEDICARE ID-TYPE UNSPECIFIED CA LICENSE NUMBER

NPI Record

No. Field Name Field Value
1 NPI 1598780280
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name CHARLES A. SAENZ
5 Provider Other Organization Name SAENZ CHIROPRACTIC OFFICE
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 601 16TH ST
8 Provider Business Practice Location Address City Name MODESTO
9 Provider Business Practice Location Address State Name CA
10 Provider Business Practice Location Address Postal Code 953542516
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2095261288
13 Provider Business Practice Location Address Fax Number 2093380397
14 Provider Enumeration Date 7/13/2006
15 Last Update Date 7/8/2007
16 Authorized Official Last Name SAENZ
17 Authorized Official First Name CHARLES
18 Authorized Official Middle Name ALAN
19 Authorized Official Title or Position OWNER
20 Authorized Official Telephone Number 2095261288
21 Healthcare Provider Taxonomy Code 1 111N00000X
22 Provider License Number 1 16509
23 Provider License Number State Code 1 CA
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Other Provider Identifier 1 T06162
26 Other Provider Identifier Type Code 1 02
27 Other Provider Identifier State 1 CA
28 Other Provider Identifier 2 DC0165090
29 Other Provider Identifier Type Code 2 04
30 Other Provider Identifier State 2 CA
31 Other Provider Identifier Issuer 2 LICENSE NUMBER
32 Authorized Official Name Prefix Text DR.
33 Authorized Official Credential Text D.C.
34 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.