Provider Demographics
NPI:1760137822
Name:VIVA CHIROPRACTIC & WELLNESS LLC
Entity Type:Organization
Organization Name:VIVA CHIROPRACTIC & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESQUINCA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-971-7350
Mailing Address - Street 1:920 W US HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1551
Mailing Address - Country:US
Mailing Address - Phone:219-440-7250
Mailing Address - Fax:219-300-5878
Practice Address - Street 1:920 W US HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1551
Practice Address - Country:US
Practice Address - Phone:219-440-7250
Practice Address - Fax:219-300-5878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty