Provider Demographics
NPI:1760530018
Name:SLUSHER CHIROPRACTIC LIFE CENTER INC.
Entity Type:Organization
Organization Name:SLUSHER CHIROPRACTIC LIFE CENTER INC.
Other - Org Name:DR. JAMES R. SLUSHER D.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:SLUSHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-546-5433
Mailing Address - Street 1:1182 SE BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-5302
Mailing Address - Country:US
Mailing Address - Phone:714-546-5433
Mailing Address - Fax:714-546-8616
Practice Address - Street 1:1182 SE BRISTOL ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-5302
Practice Address - Country:US
Practice Address - Phone:714-546-5433
Practice Address - Fax:714-546-8616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12058111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU174255Medicare UPIN
COU174255Medicare ID - Type UnspecifiedMEDICARE ID