Organization
CHIROPRACTIC ADVANTAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L RICHARDSON D.C. (DIRECTOR-OFFICER)
(530) 222-3727
Entity
Organization
Contact information
Practice address
1244 HARTNELL AVE STE B, REDDING, CA 96002-2229
(530) 222-3727
(530) 222-4474
Mailing address
1244 HARTNELL AVE STE B, REDDING, CA 96002-2229
(530) 222-3727
(530) 222-4474
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350051571
RR MEDICARE PIN
CA
01
—
DC23577
CA LICENSE #
CA
Enumeration date
11/07/2006
Last updated
04/01/2021
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