Provider Demographics
NPI:1528208345
Name:BIOMECHANICS CHIROPRACTIC CLINIC INC
Entity Type:Organization
Organization Name:BIOMECHANICS CHIROPRACTIC CLINIC INC
Other - Org Name:DR. CARL NEELEY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:RICHERT
Authorized Official - Last Name:NEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-624-4553
Mailing Address - Street 1:5903 SUNSET BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-3712
Mailing Address - Country:US
Mailing Address - Phone:916-624-4553
Mailing Address - Fax:916-624-3751
Practice Address - Street 1:5903 SUNSET BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-3712
Practice Address - Country:US
Practice Address - Phone:916-624-4553
Practice Address - Fax:916-624-3751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 12232111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty