Provider Demographics
NPI:1477876175
Name:TREANOR CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:TREANOR CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:CATHCART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-660-0700
Mailing Address - Street 1:20301 SW ACACIA ST
Mailing Address - Street 2:SUITE #150
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-1732
Mailing Address - Country:US
Mailing Address - Phone:949-660-0700
Mailing Address - Fax:949-660-0756
Practice Address - Street 1:20301 SW ACACIA ST
Practice Address - Street 2:SUITE #150
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1732
Practice Address - Country:US
Practice Address - Phone:949-660-0700
Practice Address - Fax:949-660-0756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14791111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty