Bouwhuis Chiropractic Corp
Organization Active NPI Sports Physician Chiropractor · Dana Point, CA
NPI 1275979577 · NPPES record last updated May 14, 2013
Key facts
- NPI
- 1275979577
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- 31527 (CA)
- Legal business name
- BOUWHUIS CHIROPRACTIC CORP
- Practice address
- 24582 Del Prado Ste H
Dana Point, CA 92629-3821 - Phone
- (949) 487-2722
- Fax
- (949) 487-2723
- NPI assigned
- May 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Dustin J Bouwhuis, D.C.
- Title
- Owner
- Phone
- (949) 487-2722
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor |
111NS0005X | 31527 | CA | Yes |
Addresses
Primary practice location
24582 Del Prado Ste H
Dana Point, CA 92629-3821
Mailing address
24582 Del Prado Ste H
Dana Point, CA 92629-3821
Phone (949) 487-2722
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-1538580 | Other | FORMER NPI (WHEN PRACTICED AS SOLE PROPRIETOR) | |
| CA-31527 | Other | CA | LICENSE TO PRACTICE CHIROPRACTIC |
Other names
- Therapy Solutions
Other providers in Dana Point, CA
- Blackwelder Chiropractic, Inc.
- Clyde Spencer Blackwelder
- Lorilee Bohn
- Carey Jamison Bornhagen
- Judy Lynn Bourget
- Dustin J Bouwhuis
- April Joy Boyle
- David Jay Brandom
- Jeffrey Richard Briney
- Piper Bruckmeier
All providers in Dana Point, CA · Sports Physician Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.