Healthcare Provider Details

I. General information

NPI: 1225246432
Provider Name (Legal Business Name): BACK 2 LIFE CHIROPRACTIC CORP. DAVID L. HALPAIN, D.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 F ST STE 250
BAKERSFIELD CA
93301-1839
US

IV. Provider business mailing address

8200 STOCKDALE HWY M10 284
BAKERSFIELD CA
93311-1091
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-7500
  • Fax: 661-322-7510
Mailing address:
  • Phone: 661-322-7500
  • Fax: 661-322-7510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number27173
License Number StateCA

VIII. Authorized Official

Name: JESSE SILVA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 661-322-7500