Organization · NPI-2

Grootendorst Chiropractic Professional Corporation

Chiropractor · Madera, CA

NPI number1972512184
StatusActive
Last updated in NPPESApr 16, 2020

Details

NPI
1972512184
Entity type
Organization (NPI-2)
Legal business name
Grootendorst Chiropractic Professional Corporation
Organization subpart
No
Enumeration date
Aug 5, 2006
Certification date
Apr 16, 2020
Last updated
Apr 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

900 W Yosemite Ave
Madera, CA 93637

Phone 559-674-8892 · Fax 559-674-1389

Mailing address

900 W Yosemite Ave
Madera, CA 93637-4555

Phone 559-674-8892 · Fax 559-674-1389

Authorized official

David Grootendorst
Owner
5596748892

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