Provider Demographics
NPI:1811084973
Name:PRICE CHIROPRACTIC, INC
Entity type:Organization
Organization Name:PRICE CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:N
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-755-3200
Mailing Address - Street 1:471 AINSLEY AVE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4105
Mailing Address - Country:US
Mailing Address - Phone:530-755-3200
Mailing Address - Fax:530-755-3205
Practice Address - Street 1:471 AINSLEY AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4105
Practice Address - Country:US
Practice Address - Phone:530-755-3200
Practice Address - Fax:530-755-3205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGDC000590Medicaid
CAU08397Medicare UPIN
CAZZZ25135ZMedicare ID - Type Unspecified