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SOURCE FOR WELLNESS NPI 1891119731


NPI Information

NPI: 1891119731
Provider Name: SOURCE FOR WELLNESS
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
405 KAINS AVE
STE 201
ALBANY, CA
ZIP 94706
Phone: (510) 526-7300
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SOURCE FOR WELLNESS is a chiropractor in Albany, 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. SOURCE FOR WELLNESS NPI is 1891119731. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

405 KAINS AVE
STE 201
ALBANY, CA
ZIP 94706-271
Phone: (510) 526-7300
Fax: (888) 503-9990

The provider's authorized official is Robert Little .
The authorized official title is Owner and has the following contact phone number (510) 526-7300.

The enumeration date for this NPI number is 2/12/2014 and was last updated on 2/12/2014.


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
1171100000XAcupuncturistAC6019CALIFORNIANo
22255A2300XSpecialist/TechnologistAthletic TrainerNo
3225700000XMassage TherapistNo
4111N00000XChiropractorDC29670CALIFORNIAYes

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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