Provider Demographics
NPI:1417217761
Name:CHRISTINA MCDONALD DC INC.
Entity Type:Organization
Organization Name:CHRISTINA MCDONALD DC INC.
Other - Org Name:PREFERENCE CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-895-0224
Mailing Address - Street 1:1635 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3229
Mailing Address - Country:US
Mailing Address - Phone:530-895-0224
Mailing Address - Fax:530-894-6750
Practice Address - Street 1:1635 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3229
Practice Address - Country:US
Practice Address - Phone:530-895-0224
Practice Address - Fax:530-894-6750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC013606111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty