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HERESCO CHIROPRACTIC AND ASSOCIATES PC NPI 1326045626


NPI Information

NPI: 1326045626
Provider Name: HERESCO CHIROPRACTIC AND ASSOCIATES PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
408 NW 7TH ST
CORVALLIS, OR
ZIP 97330
Phone: (541) 757-9933
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HERESCO CHIROPRACTIC AND ASSOCIATES PC is a chiropractor in Corvallis, OR. 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. HERESCO CHIROPRACTIC AND ASSOCIATES PC NPI is 1326045626. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

408 NW 7TH ST
CORVALLIS, OR
ZIP 97330-308
Phone: (541) 757-9933
Fax: (541) 757-7713

The provider's authorized official is Frank T Heresco .
The authorized official title is President and has the following contact phone number (541) 757-9933.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 2/1/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NX0800XChiropractorOrthopedic27-1620OREGONNo
2111N00000XChiropractor27-1620OREGONYes

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
1104418MEDICARE ID-TYPE UNSPECIFIED

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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