Provider Demographics
NPI:1740474691
Name:CHIROSOLUTIONS
Entity type:Organization
Organization Name:CHIROSOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BERTRAND
Authorized Official - Middle Name:HUGUES
Authorized Official - Last Name:FAUCRET
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-944-3300
Mailing Address - Street 1:119 N EL CAMINO REAL STE F
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5397
Mailing Address - Country:US
Mailing Address - Phone:760-944-3300
Mailing Address - Fax:760-944-8581
Practice Address - Street 1:119 N EL CAMINO REAL STE F
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5397
Practice Address - Country:US
Practice Address - Phone:760-944-3300
Practice Address - Fax:760-944-8581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC11900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW15397OtherMEDICARE GROUP NUMBER