Coolbaugh Chiropractic

LBN: Coolbaugh Chiropractic
Coolbaugh Chiropractic is an health care organization with primary practice located at 5201 Indiana Ave Ste 101, Lubbock TX 79413-4213. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Coolbaugh Chiropractic can be contacted via phone (806) 792-4077, or through Wallace, Susan E via phone (806) 792-0026.

Contact Information

Primary practice address
5201 Indiana Ave Ste 101 Lubbock TX 79413-4213
Fax:
Website:
Authorized official contact:
Name: Wallace, Susan E

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 6420 Texas

Profile Details

NPI number 1194845263
LBN Legal business name Coolbaugh Chiropractic
DBA Doing business as
Authorized official Wallace, Susan E
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Aug 8th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194845263 NPPES
Texas MEDICAID 0020711-01

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