Provider Demographics
NPI:1972893212
Name:VEIRS CHIROPRACTIC PC
Entity type:Organization
Organization Name:VEIRS CHIROPRACTIC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VEIRS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-945-9982
Mailing Address - Street 1:7388 CARNELIAN ST
Mailing Address - Street 2:STE D
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-1160
Mailing Address - Country:US
Mailing Address - Phone:909-945-9982
Mailing Address - Fax:
Practice Address - Street 1:7388 CARNELIAN ST
Practice Address - Street 2:STE D
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1160
Practice Address - Country:US
Practice Address - Phone:909-945-9982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1740362987OtherNPI
1386711943OtherNPI