Provider Demographics
NPI:1326266131
Name:ELIZABETH SWIDA SKILLEN, DC, A CHIROPRACTIC CORP.
Entity Type:Organization
Organization Name:ELIZABETH SWIDA SKILLEN, DC, A CHIROPRACTIC CORP.
Other - Org Name:NECK AND BACK CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SWIDA SKILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-587-0700
Mailing Address - Street 1:4550 COFFEE RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-5023
Mailing Address - Country:US
Mailing Address - Phone:661-587-0700
Mailing Address - Fax:661-587-0799
Practice Address - Street 1:4550 COFFEE RD
Practice Address - Street 2:SUITE H
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-5023
Practice Address - Country:US
Practice Address - Phone:661-587-0700
Practice Address - Fax:661-587-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13886111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty