Provider Demographics
NPI:1245350842
Name:TWIN PALMS CHIROPRACTIC HEALTH CENTER INC
Entity type:Organization
Organization Name:TWIN PALMS CHIROPRACTIC HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-412-3800
Mailing Address - Street 1:808 VENICE AVE E.
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-7039
Mailing Address - Country:US
Mailing Address - Phone:941-412-3800
Mailing Address - Fax:941-486-0390
Practice Address - Street 1:808 VENICE AVE E.
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-7039
Practice Address - Country:US
Practice Address - Phone:941-412-3800
Practice Address - Fax:941-486-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH-8083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00120481OtherMEDICARE RAILROAD
FLK3025Medicare UPIN