Healthcare Provider Details

I. General information

NPI: 1437765054
Provider Name (Legal Business Name): OPSAL FAMILY CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 GULF SHORE BLVD N STE 134
NAPLES FL
34102-4971
US

IV. Provider business mailing address

1044 WOODSHIRE LN APT B201
NAPLES FL
34105-7435
US

V. Phone/Fax

Practice location:
  • Phone: 239-963-9949
  • Fax:
Mailing address:
  • Phone: 815-343-2427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: CHAD OPSAL
Title or Position: OWNER
Credential: DC
Phone: 815-343-2427