Santa Rosa Chiropractic Neurology Center

LBN: Ambridge Chiropractic Corp
Santa Rosa Chiropractic Neurology Center is an health care organization with primary practice located at 990 Sonoma Ave Ste 18 , Santa Rosa CA 95404-4813. The organization recently has only one registered license in Chiropractic Providers / Neurology, which is considered as the primary health care specialty. Ambridge Chiropractic Corp can be contacted via phone (707) 575-9009, or through Ambridge, Forest Blake via phone (707) 575-9009.

Contact Information

Primary practice address
990 Sonoma Ave Ste 18 Santa Rosa CA 95404-4813
Phone: (707) 575-9009
Fax: (707) 575-4267
Website:
Map and Directions
Authorized official contact:
Name: Ambridge, Forest Blake
Phone: (707) 575-9009

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 19037 California

Profile Details

NPI number 1629008370
LBN Legal business name Ambridge Chiropractic Corp
DBA Doing business as Santa Rosa Chiropractic Neurology Center
Authorized official Ambridge, Forest Blake
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated May 14th, 2019 - about 5 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 1629008370 NPPES
California Other ZZZ04893Z BLUE SHIELD PROVIDER

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