ENVISION A CHIROPRACTIC HEALING LLC NPI 1104269877

NPI Information

NPI: 1104269877
Provider Name: ENVISION A CHIROPRACTIC HEALING, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
572 MADDOX DR
STE 205
EAST ELLIJAY, GA
ZIP 30540
Phone: (706) 697-7463
Get Directions

ENVISION A CHIROPRACTIC HEALING, LLC is a health service clinic center in East Ellijay, GA. ENVISION A CHIROPRACTIC HEALING, LLC NPI is 1104269877. The provider is registered as an organization entity type.

The provider's business location address is:

572 MADDOX DR
STE 205
EAST ELLIJAY, GA
ZIP 30540-000
Phone: (706) 697-7463

The provider's authorized official is Debrah K Swanberg-grossman .
The authorized official title is Owner/director and has the following contact phone number (706) 697-7463.

The enumeration date for this NPI number is 4/12/2013 and was last updated on 4/12/2013.

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	261QH0100X	Clinic/Center	Health Service	CHIR002792	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	35ZCBFS	MEDICARE OSCAR/CERTIFICATION
2	CHIR002792	OTHER	GEORGIA	STATE LICENSE
3	U01224	MEDICARE UPIN

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

NPI Synchronization or Removal

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