Provider Demographics
NPI:1851560684
Name:KLINE CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:KLINE CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-930-8039
Mailing Address - Street 1:5670 EL CAMINO REAL
Mailing Address - Street 2:SUITE F
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-7125
Mailing Address - Country:US
Mailing Address - Phone:760-930-8039
Mailing Address - Fax:760-930-0624
Practice Address - Street 1:5670 EL CAMINO REAL
Practice Address - Street 2:SUITE F
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7125
Practice Address - Country:US
Practice Address - Phone:760-930-8039
Practice Address - Fax:760-930-0624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4157443628Medicare PIN