HANNON CHIROPRACTIC INC. NPI 1750612289

NPI Information

HANNON CHIROPRACTIC INC. is a chiropractor in Hesperia, 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. HANNON CHIROPRACTIC INC. NPI is 1750612289. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16808 MAIN ST
SUITE B
HESPERIA, CA
ZIP 92345-922
Phone: (760) 949-0996
Fax: (760) 949-0777

The provider's authorized official is Clive Hannon .
The authorized official title is Ceo and has the following contact phone number (760) 949-0996.

The CLIA number assigned to this NPI record is 05D2084948 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2010 and was last updated on 1/22/2010.

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:

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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