Organization
BOUWHUIS CHIROPRACTIC CORP
Active
Other names
Therapy Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN J BOUWHUIS D.C. (OWNER)
(949) 487-2722
Entity
Organization
Contact information
Practice address
24582 DEL PRADO STE H, DANA POINT, CA 92629-3821
(949) 487-2722
(949) 487-2723
Mailing address
24582 DEL PRADO STE H, DANA POINT, CA 92629-3821
(949) 487-2722
(949) 487-2723
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
31527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-1538580
FORMER NPI (WHEN PRACTICED AS SOLE PROPRIETOR)
—
01
—
CA-31527
LICENSE TO PRACTICE CHIROPRACTIC
CA
Enumeration date
05/14/2013
Last updated
05/14/2013
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