Provider Demographics
NPI:1588818165
Name:A. ROSS CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:A. ROSS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:MERRIE
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-247-4503
Mailing Address - Street 1:1142 S WINCHESTER BLVD
Mailing Address - Street 2:A
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-3922
Mailing Address - Country:US
Mailing Address - Phone:408-247-4503
Mailing Address - Fax:408-247-4853
Practice Address - Street 1:1142 S WINCHESTER BLVD
Practice Address - Street 2:A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-3922
Practice Address - Country:US
Practice Address - Phone:408-247-4503
Practice Address - Fax:408-247-4853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30406111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty