Provider Demographics
NPI:1235203092
Name:PAYNTON & PAYNTON CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:PAYNTON & PAYNTON CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EARLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:PAYNTON
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:925-938-7767
Mailing Address - Street 1:1414 MARIA LN
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5313
Mailing Address - Country:US
Mailing Address - Phone:925-938-7767
Mailing Address - Fax:925-938-7766
Practice Address - Street 1:1414 MARIA LN
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5313
Practice Address - Country:US
Practice Address - Phone:925-938-7767
Practice Address - Fax:925-938-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-24552111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty