Provider Demographics
NPI:1093029290
Name:GRAPPIN CLINIC OF CHIROPRACTIC PA
Entity Type:Organization
Organization Name:GRAPPIN CLINIC OF CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:W
Authorized Official - Last Name:GRAPPIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-426-9551
Mailing Address - Street 1:12511 TAMIAMI TRL S
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-1446
Mailing Address - Country:US
Mailing Address - Phone:941-426-9551
Mailing Address - Fax:941-426-9551
Practice Address - Street 1:12511 TAMIAMI TRL S
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-1446
Practice Address - Country:US
Practice Address - Phone:941-426-9551
Practice Address - Fax:941-426-9551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty