100 Chiropractic Sietsema Inc

LBN: 100 Chiropractic Sietsema Inc
100 Chiropractic Sietsema Inc is an health care organization with primary practice located at 272 N El Camino Real Ste C , Encinitas CA 92024-2857. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. 100 Chiropractic Sietsema Inc can be contacted via phone (760) 230-2145, or through Sietsema, Kendra via phone (612) 889-9722.

Contact Information

Primary practice address
272 N El Camino Real Ste C Encinitas CA 92024-2857
Fax:
Website:
Authorized official contact:
Name: Sietsema, Kendra Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1902409030
LBN Legal business name 100 Chiropractic Sietsema Inc
DBA Doing business as
Authorized official Sietsema, Kendra Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2020
Last updated Dec 5th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902409030 NPPES
California MEDICAID 1528499050

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