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JUDEVINE CHIROPRACTIC & REHABILITATION CLINIC INC. NPI 1477856938


NPI Information

NPI: 1477856938
Provider Name: JUDEVINE CHIROPRACTIC & REHABILITATION CLINIC INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1175 W STEELE LN
SANTA ROSA, CA
ZIP 95403
Phone: (707) 578-4156
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JUDEVINE CHIROPRACTIC & REHABILITATION CLINIC INC. is a chiropractor in Santa Rosa, 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. JUDEVINE CHIROPRACTIC & REHABILITATION CLINIC INC. NPI is 1477856938. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1175 W STEELE LN
SANTA ROSA, CA
ZIP 95403-553
Phone: (707) 578-4156
Fax: (707) 578-0723

The provider's authorized official is James H. Judevine .
The authorized official title is Owner and has the following contact phone number (707) 578-4156.

The enumeration date for this NPI number is 12/6/2010 and was last updated on 12/16/2010.


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

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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