Provider Demographics
NPI:1487854147
Name:MULVEY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:MULVEY CHIROPRACTIC, INC.
Other - Org Name:OLDE MISSION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FINBARR
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:MULVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-591-4922
Mailing Address - Street 1:1582 W SAN MARCOS BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-4081
Mailing Address - Country:US
Mailing Address - Phone:760-591-4922
Mailing Address - Fax:760-591-4922
Practice Address - Street 1:1582 W SAN MARCOS BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-4081
Practice Address - Country:US
Practice Address - Phone:760-591-4922
Practice Address - Fax:760-591-4922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24889261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC24890Medicare PIN
CADC24889Medicare PIN