Provider Demographics
NPI:1346458643
Name:BRIAN P. RECTOR, CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:BRIAN P. RECTOR, CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:RECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:831-899-5900
Mailing Address - Street 1:2511 GARDEN RD. C-100
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-899-5900
Mailing Address - Fax:831-899-5958
Practice Address - Street 1:775 KIMBALL AVE STE 101
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-5821
Practice Address - Country:US
Practice Address - Phone:831-899-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23093111N00000X
CADC23093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV502053Medicare UPIN
ZZZ287617Medicare PIN