Provider Demographics
NPI:1427113422
Name:T M PILLOW D.C. & ASSOCIATES
Entity type:Organization
Organization Name:T M PILLOW D.C. & ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:A
Authorized Official - Last Name:GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-347-4554
Mailing Address - Street 1:81557 DOCTOR CARREON BLVD
Mailing Address - Street 2:SUITE B5
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-5517
Mailing Address - Country:US
Mailing Address - Phone:760-347-4554
Mailing Address - Fax:760-347-1623
Practice Address - Street 1:81557 DOCTOR CARREON BLVD
Practice Address - Street 2:SUITE B5
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-5517
Practice Address - Country:US
Practice Address - Phone:760-347-4554
Practice Address - Fax:760-347-1623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18590111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ52488ZOtherT M PILLOW & ASSC. BLUE S
CADC0137840OtherBLUE SHIELD PROVIDER #
CAP0073726OtherGREENWOOD RAILROAD
CADC0137841Medicare PIN
CADC0137840OtherBLUE SHIELD PROVIDER #
CAZZZ52488ZOtherT M PILLOW & ASSC. BLUE S
CAZZZ32196ZMedicare ID - Type Unspecified