Provider Demographics
NPI:1962624429
Name:CHLUPEK CHIROPRACTIC INC
Entity type:Organization
Organization Name:CHLUPEK CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CHLUPEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-734-5600
Mailing Address - Street 1:PO BOX 1026
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92781
Mailing Address - Country:US
Mailing Address - Phone:714-734-5600
Mailing Address - Fax:714-734-5622
Practice Address - Street 1:13172 SAINT THOMAS DR
Practice Address - Street 2:
Practice Address - City:NORTH TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92705
Practice Address - Country:US
Practice Address - Phone:714-734-5600
Practice Address - Fax:714-734-5622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17650111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty