Provider Demographics
NPI:1528131802
Name:KEEFE CHIROPRACTIC CORP
Entity type:Organization
Organization Name:KEEFE CHIROPRACTIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR OWNER OF CORP
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEEFE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-223-0859
Mailing Address - Street 1:2051 HILLTOP DR
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0218
Mailing Address - Country:US
Mailing Address - Phone:530-223-0859
Mailing Address - Fax:530-223-1191
Practice Address - Street 1:2051 HILLTOP DRIVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002
Practice Address - Country:US
Practice Address - Phone:530-223-0859
Practice Address - Fax:530-223-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0117560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ06484ZMedicare PIN