Provider Demographics
NPI:1164559357
Name:SANTA BARBARA HOLISTIC HEALTH CTR ACUPUNCTURE & CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:SANTA BARBARA HOLISTIC HEALTH CTR ACUPUNCTURE & CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SHEELAH
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:805-964-0333
Mailing Address - Street 1:38 S LA CUMBRE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-6130
Mailing Address - Country:US
Mailing Address - Phone:805-964-0333
Mailing Address - Fax:805-964-0552
Practice Address - Street 1:38 S LA CUMBRE RD STE 2
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-6130
Practice Address - Country:US
Practice Address - Phone:805-964-0333
Practice Address - Fax:805-964-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 17824111NX0800X
CAAC 3929171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC 3929Medicare ID - Type UnspecifiedSHEELAH R SMITH LAC
CADC 17824Medicare ID - Type UnspecifiedDOUGLAS W SMITH DC