Provider Demographics
NPI:1194975482
Name:GREENLAWN FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:GREENLAWN FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SPITZENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-248-9235
Mailing Address - Street 1:1300 GATTIS SCHOOL RD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-7469
Mailing Address - Country:US
Mailing Address - Phone:512-248-9235
Mailing Address - Fax:512-248-9236
Practice Address - Street 1:1300 GATTIS SCHOOL RD
Practice Address - Street 2:SUITE 700
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-7469
Practice Address - Country:US
Practice Address - Phone:512-248-9235
Practice Address - Fax:512-248-9236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10939111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty