Provider Demographics
NPI:1205106432
Name:OLDE NAPLES CHIROPRACTIC HEALTH CENTER, INC.
Entity type:Organization
Organization Name:OLDE NAPLES CHIROPRACTIC HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-262-0606
Mailing Address - Street 1:689 TAMIAMI TRL N
Mailing Address - Street 2:SUITE D
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-8100
Mailing Address - Country:US
Mailing Address - Phone:239-262-0606
Mailing Address - Fax:239-262-3482
Practice Address - Street 1:689 TAMIAMI TRL N
Practice Address - Street 2:SUITE D
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-8100
Practice Address - Country:US
Practice Address - Phone:239-262-0606
Practice Address - Fax:239-262-3482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty