Organization Name: | MARTIN CHIROPRACTIC AND INJURY CENTER |
NPI Number: | 1275769309 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RON R MARTIN (PRESIDENT) |
Mailing Address: | 1216 Suncast Ln Suite #2 El Dorado Hills |
State: | CA US |
Postal Code: | 957629668 |
Phone Number: | 9169338100 |
Fax Number: | 9169337356 |
NPI Enumeration Date: | 06/03/2009 |
NPI Last Update Date: | 06/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC22073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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. |