Provider Demographics
NPI:1407886211
Name:SPIESS CHIROPRACTIC INCORPORATED
Entity Type:Organization
Organization Name:SPIESS CHIROPRACTIC INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SPIESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-987-4848
Mailing Address - Street 1:5855 E NAPLES PLAZA
Mailing Address - Street 2:STE 217
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803
Mailing Address - Country:US
Mailing Address - Phone:562-987-4848
Mailing Address - Fax:562-987-4001
Practice Address - Street 1:5855 E NAPLES PLAZA
Practice Address - Street 2:STE 217
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803
Practice Address - Country:US
Practice Address - Phone:562-987-4848
Practice Address - Fax:562-987-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC27866Medicare ID - Type Unspecified