Provider Demographics
NPI:1780831735
Name:ON SITE CHIROPRACTIC SOLUTIONS PA
Entity Type:Organization
Organization Name:ON SITE CHIROPRACTIC SOLUTIONS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:P
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:850-776-5606
Mailing Address - Street 1:410 W NINE MILE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-1820
Mailing Address - Country:US
Mailing Address - Phone:850-471-0000
Mailing Address - Fax:
Practice Address - Street 1:410 W NINE MILE RD
Practice Address - Street 2:SUITE C
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-1820
Practice Address - Country:US
Practice Address - Phone:850-471-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty