BLACKWELDER CHIROPRACTIC INC. NPI 1538244769

NPI Information

BLACKWELDER CHIROPRACTIC, INC. is a chiropractor in Dana Point, 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. BLACKWELDER CHIROPRACTIC, INC. NPI is 1538244769. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Capo Beach Chiropractic.

The provider's business location address is:

24721 LA PLZ
DANA POINT, CA
ZIP 92629-509
Phone: (949) 240-2546
Fax: (949) 240-3804

The provider's authorized official is Clyde Spencer Blackwelder .
The authorized official title is President/ Owner and has the following contact phone number (949) 240-2546.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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