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MCCULLY ATLAS SPINAL CARE CHIROPRACTIC P.C. NPI 1730631268


NPI Information

NPI: 1730631268
Provider Name: MCCULLY ATLAS SPINAL CARE CHIROPRACTIC, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4655 HOEN AVE
SUITE 8
SANTA ROSA, CA
ZIP 95405
Phone: (707) 568-6900
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MCCULLY ATLAS SPINAL CARE CHIROPRACTIC, P.C. 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. MCCULLY ATLAS SPINAL CARE CHIROPRACTIC, P.C. NPI is 1730631268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4655 HOEN AVE
SUITE 8
SANTA ROSA, CA
ZIP 95405-800
Phone: (707) 568-6900

The provider's authorized official is Lucas Mccully .
The authorized official title is President and has the following contact phone number (707) 568-6900.

The enumeration date for this NPI number is 11/1/2016 and was last updated on 11/1/2016.


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
1111N00000XChiropractorDC31489CALIFORNIAYes

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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