Provider Demographics
NPI:1083274203
Name:BAILEY CRUZE PREMIER HEALTH CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:BAILEY CRUZE PREMIER HEALTH CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:415-236-1810
Mailing Address - Street 1:605 MARKET ST STE 1250
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3220
Mailing Address - Country:US
Mailing Address - Phone:415-236-1810
Mailing Address - Fax:844-272-7473
Practice Address - Street 1:605 MARKET ST STE 1250
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-3220
Practice Address - Country:US
Practice Address - Phone:415-236-1810
Practice Address - Fax:844-272-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty