Provider Demographics
NPI:1366600389
Name:CHAUSS CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:CHAUSS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-786-2558
Mailing Address - Street 1:8 SERENE PL
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3042
Mailing Address - Country:US
Mailing Address - Phone:925-786-2558
Mailing Address - Fax:
Practice Address - Street 1:12901 ALCOSTA BLVD
Practice Address - Street 2:2C
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1398
Practice Address - Country:US
Practice Address - Phone:925-786-2558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 30903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty