Provider Demographics
NPI:1821092842
Name:GOOD CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:GOOD CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:GOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-462-4698
Mailing Address - Street 1:4133 MOHR AVE
Mailing Address - Street 2:STE I
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4750
Mailing Address - Country:US
Mailing Address - Phone:925-462-4698
Mailing Address - Fax:925-600-1867
Practice Address - Street 1:4133 MOHR AVE
Practice Address - Street 2:STE I
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4678
Practice Address - Country:US
Practice Address - Phone:925-462-4098
Practice Address - Fax:925-600-1867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25330111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA350056169OtherRAILROAD MEDICARE
CA350056169OtherRAILROAD MEDICARE
CADC0253300Medicare ID - Type Unspecified