Provider Demographics
NPI:1295812840
Name:VIK CHIROPRACTIC, INC
Entity type:Organization
Organization Name:VIK CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:MCCAULEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:650-938-3737
Mailing Address - Street 1:856 W EL CAMINO REAL
Mailing Address - Street 2:#D
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2593
Mailing Address - Country:US
Mailing Address - Phone:650-938-3737
Mailing Address - Fax:650-967-2683
Practice Address - Street 1:856 W EL CAMINO REAL
Practice Address - Street 2:#D
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2593
Practice Address - Country:US
Practice Address - Phone:650-938-3737
Practice Address - Fax:650-967-2683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ01572ZMedicare UPIN