Provider Demographics
NPI:1588263560
Name:CHIROPRACTIC SPINE AND INJURY PA
Entity type:Organization
Organization Name:CHIROPRACTIC SPINE AND INJURY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-327-9000
Mailing Address - Street 1:158 TUSKAWILLA RD STE 1308
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-2805
Mailing Address - Country:US
Mailing Address - Phone:407-327-9000
Mailing Address - Fax:407-327-9035
Practice Address - Street 1:158 TUSKAWILLA RD STE 1308
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2805
Practice Address - Country:US
Practice Address - Phone:407-327-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty