Provider Demographics
NPI:1497394779
Name:BEAVERS BETTER HEALTH CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:BEAVERS BETTER HEALTH CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:BEAVERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-489-5450
Mailing Address - Street 1:5707 MARCONI AVE STE D
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4471
Mailing Address - Country:US
Mailing Address - Phone:916-489-5450
Mailing Address - Fax:916-489-2175
Practice Address - Street 1:5707 MARCONI AVE STE D
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4471
Practice Address - Country:US
Practice Address - Phone:916-489-5450
Practice Address - Fax:916-489-2175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty