Provider Demographics
NPI:1770289357
Name:SHORTZ CHIROPRACTIC APC
Entity type:Organization
Organization Name:SHORTZ CHIROPRACTIC APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHORTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-413-7043
Mailing Address - Street 1:60 FENTON ST STE 11
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4148
Mailing Address - Country:US
Mailing Address - Phone:925-232-1315
Mailing Address - Fax:
Practice Address - Street 1:60 FENTON ST STE 11
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4148
Practice Address - Country:US
Practice Address - Phone:925-232-1315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty