Provider Demographics
NPI:1336483320
Name:SHVETS CHIROPRACTIC INC
Entity Type:Organization
Organization Name:SHVETS CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NADEZHDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHVETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-334-8884
Mailing Address - Street 1:5740 WINDMILL WAY STE 3
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1379
Mailing Address - Country:US
Mailing Address - Phone:916-334-8884
Mailing Address - Fax:
Practice Address - Street 1:5740 WINDMILL WAY STE 3
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-1379
Practice Address - Country:US
Practice Address - Phone:916-334-8884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29433111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1700062569OtherNPI