Provider Demographics
NPI:1942617485
Name:NATURAL ADVANTAGE CHIROPRACTIC, A PROFESSIONAL CHIROPRACTIC ASSOCIATIO
Entity type:Organization
Organization Name:NATURAL ADVANTAGE CHIROPRACTIC, A PROFESSIONAL CHIROPRACTIC ASSOCIATIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:WESTCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-413-5530
Mailing Address - Street 1:7700 ELDORADO PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5654
Mailing Address - Country:US
Mailing Address - Phone:972-540-0608
Mailing Address - Fax:
Practice Address - Street 1:7700 ELDORADO PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5654
Practice Address - Country:US
Practice Address - Phone:972-540-0608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12540111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT537AMedicare UPIN