Provider Demographics
NPI:1760679815
Name:MACY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:MACY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MACY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-682-1433
Mailing Address - Street 1:3324 STATE ST
Mailing Address - Street 2:STE. H
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2665
Mailing Address - Country:US
Mailing Address - Phone:805-682-1433
Mailing Address - Fax:805-898-9982
Practice Address - Street 1:3324 STATE ST
Practice Address - Street 2:STE. H
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2665
Practice Address - Country:US
Practice Address - Phone:805-682-1433
Practice Address - Fax:805-898-9982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15995111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty