Provider Demographics
NPI:1821126749
Name:PINNACLE CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:PINNACLE CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KIRSCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-907-9553
Mailing Address - Street 1:PO BOX 7382
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-0106
Mailing Address - Country:US
Mailing Address - Phone:813-907-9553
Mailing Address - Fax:813-907-9554
Practice Address - Street 1:5808 BOYETTE RD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-4122
Practice Address - Country:US
Practice Address - Phone:813-907-9553
Practice Address - Fax:813-907-9554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9052111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU6060ZMedicare ID - Type Unspecified
FLK5525Medicare ID - Type Unspecified
FLV06763Medicare UPIN