Organization Name: | HERITAGE BUILDING LLC |
NPI Number: | 1023449006 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD LOUIS FAIOLA (PRESIDENT) |
Mailing Address: | 4001 Harrison Ave Nw Ste 102 Olympia |
State: | WA US |
Postal Code: | 985025084 |
Phone Number: | 3609563627 |
Fax Number: | 3603501445 |
NPI Enumeration Date: | 12/02/2013 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH00034866 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |