Provider Demographics
NPI:1134839327
Name:DR. CARRIE SILVEIRA, D.C. MESA NATURAL HEALTH CHIROPRACTIC, INC
Entity type:Organization
Organization Name:DR. CARRIE SILVEIRA, D.C. MESA NATURAL HEALTH CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-234-0798
Mailing Address - Street 1:620 W TEFFT ST
Mailing Address - Street 2:
Mailing Address - City:NIPOMO
Mailing Address - State:CA
Mailing Address - Zip Code:93444-9187
Mailing Address - Country:US
Mailing Address - Phone:805-931-9966
Mailing Address - Fax:888-225-1442
Practice Address - Street 1:620 W TEFFT ST
Practice Address - Street 2:
Practice Address - City:NIPOMO
Practice Address - State:CA
Practice Address - Zip Code:93444-9187
Practice Address - Country:US
Practice Address - Phone:805-931-9966
Practice Address - Fax:888-225-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty