is a Chiropractor in , . practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1376752766. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | , , |
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Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1376752766 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | |
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City | |
State | () |
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Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | DC14741 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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DC14741 | CA | LICENSE | |
DC0147410 | CA | -- |
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