Provider Demographics
NPI:1790316735
Name:EADE NAPA CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:EADE NAPA CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:EADE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:707-738-5536
Mailing Address - Street 1:1100 LINCOLN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-4908
Mailing Address - Country:US
Mailing Address - Phone:707-738-5536
Mailing Address - Fax:707-251-8154
Practice Address - Street 1:1100 LINCOLN AVE STE 103
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-4908
Practice Address - Country:US
Practice Address - Phone:707-738-5536
Practice Address - Fax:707-251-8154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty