Provider Demographics
NPI:1760834048
Name:OCEAN VIEW HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:OCEAN VIEW HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PIERING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-775-2007
Mailing Address - Street 1:320 1ST ST N
Mailing Address - Street 2:STE 709
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-6944
Mailing Address - Country:US
Mailing Address - Phone:904-270-2793
Mailing Address - Fax:904-270-2796
Practice Address - Street 1:320 1ST ST N
Practice Address - Street 2:STE 709
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-6944
Practice Address - Country:US
Practice Address - Phone:904-270-2793
Practice Address - Fax:904-270-2796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty