Provider Demographics
NPI:1558668053
Name:BITTLE INC
Entity Type:Organization
Organization Name:BITTLE INC
Other - Org Name:PEAK PERFORMANCE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-424-0400
Mailing Address - Street 1:26883 SIERRA HWY
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2274
Mailing Address - Country:US
Mailing Address - Phone:661-424-0400
Mailing Address - Fax:661-424-0464
Practice Address - Street 1:26883 SIERRA HWY
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2274
Practice Address - Country:US
Practice Address - Phone:661-424-0400
Practice Address - Fax:661-424-0464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29611111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty