Provider Demographics
NPI:1306310792
Name:LENIHAN FAMILY CHIROPRACTIC INC.
Entity type:Organization
Organization Name:LENIHAN FAMILY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:LENIHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:415-847-7547
Mailing Address - Street 1:412 RED HILL AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-2469
Mailing Address - Country:US
Mailing Address - Phone:415-306-6400
Mailing Address - Fax:415-482-8280
Practice Address - Street 1:412 RED HILL AVE STE 11
Practice Address - Street 2:
Practice Address - City:SAN ANSELMO
Practice Address - State:CA
Practice Address - Zip Code:94960-2469
Practice Address - Country:US
Practice Address - Phone:415-306-6400
Practice Address - Fax:415-482-8280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty