Provider Demographics
NPI:1861892218
Name:LEVITZ CHIROPRACTIC CORPORATION
Entity type:Organization
Organization Name:LEVITZ CHIROPRACTIC CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-646-0105
Mailing Address - Street 1:4732 TELEPHONE RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5252
Mailing Address - Country:US
Mailing Address - Phone:805-646-0105
Mailing Address - Fax:805-754-2014
Practice Address - Street 1:4732 TELEPHONE RD STE 1A
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5252
Practice Address - Country:US
Practice Address - Phone:805-646-0105
Practice Address - Fax:805-754-2014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3760111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty