11TH STREET CHIROPRACTIC CLINIC LLC NPI 1629111661

NPI Information

NPI: 1629111661
Provider Name: 11TH STREET CHIROPRACTIC CLINIC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
105 N 11TH ST
BEAUMONT, TX
ZIP 77702
Phone: (409) 838-0909
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11TH STREET CHIROPRACTIC CLINIC, LLC is a chiropractor in Beaumont, TX. 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. 11TH STREET CHIROPRACTIC CLINIC, LLC NPI is 1629111661. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 N 11TH ST
BEAUMONT, TX
ZIP 77702-212
Phone: (409) 838-0909

The provider's authorized official is Buffie L Rome .
The authorized official title is Business Office Manager and has the following contact phone number (504) 467-0302.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				Yes

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: 5/5/2024

NPI Synchronization or Removal

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