Provider Demographics
NPI:1730322058
Name:PATTON CHIROPRACTIC INC
Entity Type:Organization
Organization Name:PATTON CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-918-5459
Mailing Address - Street 1:1216 S GLENDORA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-4924
Mailing Address - Country:US
Mailing Address - Phone:626-918-5459
Mailing Address - Fax:626-918-5469
Practice Address - Street 1:1216 S GLENDORA AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-4924
Practice Address - Country:US
Practice Address - Phone:626-918-5459
Practice Address - Fax:626-918-5469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty