Provider Demographics
NPI:1093972945
Name:ROBERT M DELUCA & A J AMERIGO PTR DBA ARROWVIEW CHIROPRACTIC
Entity Type:Organization
Organization Name:ROBERT M DELUCA & A J AMERIGO PTR DBA ARROWVIEW CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:DELUCA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:909-884-1277
Mailing Address - Street 1:980 N D ST
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92410-3520
Mailing Address - Country:US
Mailing Address - Phone:909-884-1277
Mailing Address - Fax:909-381-6237
Practice Address - Street 1:980 N D ST
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92410-3520
Practice Address - Country:US
Practice Address - Phone:909-884-1277
Practice Address - Fax:909-381-6237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ17593ZMedicare UPIN