Provider Demographics
NPI:1144574914
Name:BILLINGS CHIROPRACTIC INC
Entity Type:Organization
Organization Name:BILLINGS CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ZEISCHEGG
Authorized Official - Last Name:BILLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-274-0868
Mailing Address - Street 1:1117 E MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5716
Mailing Address - Country:US
Mailing Address - Phone:530-274-0868
Mailing Address - Fax:530-274-0862
Practice Address - Street 1:1117 E MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5716
Practice Address - Country:US
Practice Address - Phone:530-274-0868
Practice Address - Fax:530-274-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0187030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0187030OtherMEDICARE PTAN