Provider Demographics
NPI:1598438673
Name:SILVEIRA, CARRIE (DC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:SILVEIRA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 OAK TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:NIPOMO
Mailing Address - State:CA
Mailing Address - Zip Code:93444-6705
Mailing Address - Country:US
Mailing Address - Phone:805-234-0798
Mailing Address - Fax:
Practice Address - Street 1:800 QUINTANA RD STE 1B
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-2300
Practice Address - Country:US
Practice Address - Phone:805-772-6131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35064111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor