Provider Demographics
NPI:1609577931
Name:SILVEIRA CHIROPRACTIC HEALTH & WELLNESS CENTER PC
Entity Type:Organization
Organization Name:SILVEIRA CHIROPRACTIC HEALTH & WELLNESS CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:SILVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:209-617-1912
Mailing Address - Street 1:528 E BELLEVUE RD
Mailing Address - Street 2:
Mailing Address - City:ATWATER
Mailing Address - State:CA
Mailing Address - Zip Code:95301-2339
Mailing Address - Country:US
Mailing Address - Phone:209-617-1912
Mailing Address - Fax:209-812-1973
Practice Address - Street 1:528 E BELLEVUE RD
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-2339
Practice Address - Country:US
Practice Address - Phone:209-617-1912
Practice Address - Fax:209-812-1973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty