Provider Demographics
NPI:1649964792
Name:CERVINI CHIROPRACTIC CORPORATION
Entity type:Organization
Organization Name:CERVINI CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MCKENZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CERVINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:519-796-4471
Mailing Address - Street 1:1110 EUGENIA PL STE 200
Mailing Address - Street 2:
Mailing Address - City:CARPINTERIA
Mailing Address - State:CA
Mailing Address - Zip Code:93013-2081
Mailing Address - Country:US
Mailing Address - Phone:805-317-6626
Mailing Address - Fax:
Practice Address - Street 1:1110 EUGENIA PL STE 200
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-2081
Practice Address - Country:US
Practice Address - Phone:805-317-6626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center