Provider Demographics
NPI:1619005295
Name:NORTH COUNTY CHIROPRACTIC
Entity Type:Organization
Organization Name:NORTH COUNTY CHIROPRACTIC
Other - Org Name:NORTH COUNTY SPINE AND DISC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:K
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-630-7700
Mailing Address - Street 1:850 E VISTA WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-5238
Mailing Address - Country:US
Mailing Address - Phone:760-630-7700
Mailing Address - Fax:760-630-0456
Practice Address - Street 1:850 E VISTA WAY
Practice Address - Street 2:SUITE A
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-5238
Practice Address - Country:US
Practice Address - Phone:760-630-7700
Practice Address - Fax:760-630-0456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20836111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty