Provider Demographics
NPI:1285742387
Name:SLAUGHTER, VERONICA (DC)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44847 PORTOLA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3703
Mailing Address - Country:US
Mailing Address - Phone:760-340-4157
Mailing Address - Fax:888-636-9047
Practice Address - Street 1:44847 PORTOLA AVE STE B
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3703
Practice Address - Country:US
Practice Address - Phone:760-340-4157
Practice Address - Fax:888-636-9047
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABT154AMedicare UPIN
CADC015669Medicare UPIN
CADC15669Medicare UPIN
CADC0156690Medicare UPIN