Provider Demographics
NPI:1831301498
Name:MANNING CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:MANNING CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-447-2160
Mailing Address - Street 1:8060 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-5046
Mailing Address - Country:US
Mailing Address - Phone:619-447-2160
Mailing Address - Fax:
Practice Address - Street 1:8060 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-5046
Practice Address - Country:US
Practice Address - Phone:619-447-2160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU58421Medicare UPIN
CADC23050Medicare ID - Type Unspecified