Organization Name: | BALOYRA CHIROPRACTIC CORP |
NPI Number: | 1982973194 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE E BALOYRA (PROVIDER / OWNER) |
Mailing Address: | 1511 Treat Blvd 100 Walnut Creek |
State: | CA US |
Postal Code: | 945981094 |
Phone Number: | 9259498911 |
Fax Number: | 9259498322 |
NPI Enumeration Date: | 12/16/2011 |
NPI Last Update Date: | 12/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC27008 |
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. |