Provider Demographics
NPI:1346887395
Name:CALDWELL WHOLISTIC & CHIROPRACTIC INC
Entity Type:Organization
Organization Name:CALDWELL WHOLISTIC & CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNEQUA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-463-8830
Mailing Address - Street 1:1309 S MARY AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3060
Mailing Address - Country:US
Mailing Address - Phone:408-463-8830
Mailing Address - Fax:
Practice Address - Street 1:1309 S MARY AVE STE 208
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3060
Practice Address - Country:US
Practice Address - Phone:408-463-8830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty