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ELDER CHIROPRACTIC CLINIC NPI 1336537240


NPI Information

NPI: 1336537240
Provider Name: ELDER CHIROPRACTIC CLINIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1809 W LOOP 281
SUITE 104
LONGVIEW, TX
ZIP 75604
Phone: (903) 759-5557
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ELDER CHIROPRACTIC CLINIC is a chiropractor in Longview, 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. ELDER CHIROPRACTIC CLINIC NPI is 1336537240. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1809 W LOOP 281
SUITE 104
LONGVIEW, TX
ZIP 75604-571
Phone: (903) 759-5557
Fax: (903) 297-3506

The provider's authorized official is Henson Kyle Stringer .
The authorized official title is Owner and has the following contact phone number (903) 759-5557.

The enumeration date for this NPI number is 12/30/2014 and was last updated on 1/12/2015.


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
1111N00000XChiropractor9483TEXASYes

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
1U95941MEDICARE UPINTEXAS

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

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