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BIVOLCIC ROE CHIROPRACTIC CORPORATION NPI 1649343708


NPI Information

NPI: 1649343708
Provider Name: BIVOLCIC ROE CHIROPRACTIC CORPORATION

Doing Business As: IMPAC HEALTH

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6333 TELEGRAPH AVE
SUITE #203
OAKLAND, CA
ZIP 94609
Phone: (510) 450-1144
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BIVOLCIC ROE CHIROPRACTIC CORPORATION is a chiropractor in Oakland, 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. BIVOLCIC ROE CHIROPRACTIC CORPORATION NPI is 1649343708. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Impac Health.

The provider's business location address is:

6333 TELEGRAPH AVE
SUITE #203
OAKLAND, CA
ZIP 94609-359
Phone: (510) 450-1144
Fax: (510) 450-1147

The provider's authorized official is Delene Bivolcic .
The authorized official title is Owner and has the following contact phone number (510) 450-1144.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 2/25/2012.


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
1111N00000XChiropractorYes

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
1=========OTHERCALIFORNIATAX ID
2ZZZ23343ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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: 4/28/2024

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