Organization
.HANEY CHIROPRACTICPC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET ALYCE REESE (OFFICE MGR)
(559) 660-5262
Entity
Organization
Contact information
Practice address
36734 AVENUE 12, MADERA, CA 93636-8774
(559) 660-5262
(559) 800-7072
Mailing address
36734 AVENUE 12, MADERA, CA 93636-8774
(559) 660-5262
(559) 800-7072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC28489
CA
111N00000X
Chiropractor
Primary
DC28490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
276058
BLUE CROSS
PA
Enumeration date
04/06/2006
Last updated
02/22/2012
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