Provider Demographics
NPI:1740471002
Name:CATER CHIROPRACTIC CLINIC PC
Entity type:Organization
Organization Name:CATER CHIROPRACTIC CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:CATER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-227-1600
Mailing Address - Street 1:461 N MULFORD RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-5190
Mailing Address - Country:US
Mailing Address - Phone:815-227-1600
Mailing Address - Fax:815-227-1671
Practice Address - Street 1:461 N MULFORD RD
Practice Address - Street 2:SUITE 3
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-5190
Practice Address - Country:US
Practice Address - Phone:815-227-1600
Practice Address - Fax:815-227-1671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty