Provider Demographics
NPI:1841876604
Name:HENRY OYHARCABAL CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:HENRY OYHARCABAL CHIROPRACTIC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:LOWRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-775-7500
Mailing Address - Street 1:2305 VAN NESS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-1899
Mailing Address - Country:US
Mailing Address - Phone:415-775-7500
Mailing Address - Fax:415-775-0364
Practice Address - Street 1:2305 VAN NESS AVE STE B
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-1899
Practice Address - Country:US
Practice Address - Phone:415-775-7500
Practice Address - Fax:415-775-0364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1619030053OtherINDIVIDUAL NPI