Provider Demographics
NPI:1033499835
Name:CHOW CHIROPRACTIC INC.
Entity type:Organization
Organization Name:CHOW CHIROPRACTIC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-828-9880
Mailing Address - Street 1:6129 DUBLIN BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-7585
Mailing Address - Country:US
Mailing Address - Phone:925-828-9880
Mailing Address - Fax:925-520-2439
Practice Address - Street 1:6129 DUBLIN BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-7585
Practice Address - Country:US
Practice Address - Phone:925-828-9880
Practice Address - Fax:925-520-2439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty