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Organization
NEELEY CHIROPRACTIC, INC.
Active
Organization
NEELEY CHIROPRACTIC, INC.
Active
Parent organization
NEELEY CHIROPRACTIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEELEY CHIROPRACTIC, INC.
Authorized official
MS. KORBY J MILLER (BILLING DIRECTOR)
(702) 475-8050
Entity
Organization
Contact information
Practice address
12925 EL CAMINO REAL, SUITE J24, SAN DIEGO, CA 92130-1893
(858) 755-0808
(858) 755-7290
Mailing address
12925 EL CAMINO REAL, SUITE J24, SAN DIEGO, CA 92130-1893
(858) 755-0808
(858) 755-7290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC22098
CA
111N00000X
Chiropractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66071Z
BLUE SHIELD CHIROGROUP #
CA
01
—
ZZZ66072Z
BLUE SHIELD PT GROUP #
CA
Enumeration date
10/25/2006
Last updated
09/22/2010
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