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MYRTLE CREEK CHIROPRACTIC P.C. NPI 1518132836


NPI Information

NPI: 1518132836
Provider Name: MYRTLE CREEK CHIROPRACTIC P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
837 S MAIN ST
MYRTLE CREEK, OR
ZIP 97457
Phone: (541) 863-4920
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MYRTLE CREEK CHIROPRACTIC P.C. is a chiropractor in Myrtle Creek, OR. 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. MYRTLE CREEK CHIROPRACTIC P.C. NPI is 1518132836. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

837 S MAIN ST
MYRTLE CREEK, OR
ZIP 97457-334
Phone: (541) 863-4920
Fax: (541) 860-5374

The provider's authorized official is David Drex Reneau .
The authorized official title is Chiropractor and has the following contact phone number (541) 863-4920.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 4/28/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3193OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11285787549MEDICARE UPINOREGON

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: 5/5/2024

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