Provider Demographics
NPI:1588259063
Name:CENTERED CARE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:CENTERED CARE CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEPULVEDA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-751-3316
Mailing Address - Street 1:1601 E BASIN AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89060-4612
Mailing Address - Country:US
Mailing Address - Phone:702-910-9348
Mailing Address - Fax:
Practice Address - Street 1:1601 E BASIN AVE STE 304
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89060-4612
Practice Address - Country:US
Practice Address - Phone:775-751-3316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty