| Thornton Chiropractic | |
|
10988 Combie Rd Ste 100 Auburn CA 95602-8987 | |
| (530) 268-1386 | |
| Not Available |
| Full Name | Thornton Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 10988 Combie Rd Ste 100, Auburn, California |
| Authorized Official Name and Position | Dallan R Packard (CHIROPRACTOR) |
| Authorized Official Contact | 5302681386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thornton Chiropractic 10988 Combie Rd Ste 100 Auburn CA 95602-8987 Ph: (530) 268-1386 | Thornton Chiropractic 10988 Combie Rd Ste 100 Auburn CA 95602-8987 Ph: (530) 268-1386 |
| NPI Number | 1093992083 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4486928363 |
|---|---|
| Medicare Enrollment ID | O20170915000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093992083 | NPI | - | NPPES |
| 000056381 | Other | UT | INDIVIDUAL MEDICARE NUMBE |
| 000058112 | Other | UT | GROUP MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 33888 (California) | Primary |
| Provider Name | Dallan Raymond Packard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861421703 PECOS PAC ID: 5092734921 Enrollment ID: I20170920003587 |
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