Healthcare Provider Details

I. General information

NPI: 1982172482
Provider Name (Legal Business Name): GARVEY-ANDERSON FAMILY CHIROPRACTIC CENTER OF MERCED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2018
Last Update Date: 02/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 W OLIVE AVE STE A
MERCED CA
95348-2421
US

IV. Provider business mailing address

840 W OLIVE AVE STE A
MERCED CA
95348-2421
US

V. Phone/Fax

Practice location:
  • Phone: 209-726-3000
  • Fax: 209-726-3001
Mailing address:
  • Phone: 209-726-3000
  • Fax: 209-726-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JEREME ANDERSON
Title or Position: GENERAL PARTNER
Credential: DC
Phone: 408-428-2478