Provider Demographics
NPI:1396044921
Name:JAUDY TREATMENT CENTER, A PROFESIONAL CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:JAUDY TREATMENT CENTER, A PROFESIONAL CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:SAMI
Authorized Official - Last Name:JAUDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-340-4777
Mailing Address - Street 1:42620 CAROLINE CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-5144
Mailing Address - Country:US
Mailing Address - Phone:760-340-4777
Mailing Address - Fax:
Practice Address - Street 1:42620 CAROLINE CT
Practice Address - Street 2:SUITE 103
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-5144
Practice Address - Country:US
Practice Address - Phone:760-340-4777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty