Provider Demographics
NPI:1003174251
Name:CHIROPRACTIC SOLUTIONS DR LLAIRD LIKENS INC
Entity Type:Organization
Organization Name:CHIROPRACTIC SOLUTIONS DR LLAIRD LIKENS INC
Other - Org Name:CHIROPRACTIC SOLUTIONS OF CHICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LLAIRD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LIKENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-513-6996
Mailing Address - Street 1:2062 TALBERT DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7719
Mailing Address - Country:US
Mailing Address - Phone:530-513-6996
Mailing Address - Fax:530-513-6995
Practice Address - Street 1:2062 TALBERT DR
Practice Address - Street 2:SUITE 500
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7719
Practice Address - Country:US
Practice Address - Phone:530-513-6996
Practice Address - Fax:530-513-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32267111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty