Provider Demographics
NPI:1427408350
Name:POWER CHIROPRACTIC HEALTH A K&L BAUNE PC
Entity Type:Organization
Organization Name:POWER CHIROPRACTIC HEALTH A K&L BAUNE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:559-403-9212
Mailing Address - Street 1:275 N CLOVIS AVE
Mailing Address - Street 2:127
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-0336
Mailing Address - Country:US
Mailing Address - Phone:559-403-9212
Mailing Address - Fax:
Practice Address - Street 1:275 N CLOVIS AVE
Practice Address - Street 2:127
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-0336
Practice Address - Country:US
Practice Address - Phone:559-403-9212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33318111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty