Provider Demographics
NPI:1932309770
Name:WATSONVILLE CHIROPRACTIC INC
Entity type:Organization
Organization Name:WATSONVILLE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:CHRISTIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:831-728-1030
Mailing Address - Street 1:441 UNION ST
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-4628
Mailing Address - Country:US
Mailing Address - Phone:831-728-1030
Mailing Address - Fax:831-288-0759
Practice Address - Street 1:441 UNION ST
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-4628
Practice Address - Country:US
Practice Address - Phone:831-728-1030
Practice Address - Fax:831-288-0759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty