Provider Demographics
NPI:1932961588
Name:CEREBRAL CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:CEREBRAL CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SLININGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DCCJP
Authorized Official - Phone:732-232-1976
Mailing Address - Street 1:7601 DR. M.L.K. JR. ST. N.
Mailing Address - Street 2:SUITE E
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702
Mailing Address - Country:US
Mailing Address - Phone:727-677-0001
Mailing Address - Fax:
Practice Address - Street 1:7601 DR. M.L.K. JR. ST. N.
Practice Address - Street 2:SUITE E
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702
Practice Address - Country:US
Practice Address - Phone:727-677-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty