Provider Demographics
NPI:1093396848
Name:MCALLISTER CHIROPRACTIC, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:MCALLISTER CHIROPRACTIC, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-461-5343
Mailing Address - Street 1:5805 CAPISTRANO AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-7218
Mailing Address - Country:US
Mailing Address - Phone:805-461-5343
Mailing Address - Fax:805-461-5357
Practice Address - Street 1:5805 CAPISTRANO AVE STE D
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-7218
Practice Address - Country:US
Practice Address - Phone:805-461-5343
Practice Address - Fax:805-461-5357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty