Sandra Waters is a Chiropractor in Crescent City, California. Sandra Waters practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Sandra Waters is 1669698874. The last update date is 2007-07-08.
Sandra Waters's current location address is 200 Darby St, Crescent City, California. You can contact this provider via phone number 7074642811 and fax number 7074648211. The mailing address for Sandra Waters is 200 Darby St, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Waters |
|---|---|
| Address | 200 Darby St, Crescent City, California |
| Phone Number | 7074642811 |
| Fax Number | 7074648211 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1669698874 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Darby St |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 955319156 |
| Phone Number | 7074642811 |
| Fax Number | 7074648211 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC14804 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DC0148040 | CA | BLUE SHIELD CA |
Post Comment/ Review Below
What is the unique identification code assigned to Sandra Waters by the Centers for Medicare & Medicaid Services?
The Sandra Waters has been issued the NPI (National Provider Identifier) 1669698874. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sandra Waters?
The Sandra Waters is situated at 200 Darby St, in the city of Crescent City, state of CA, with the zip code 955319156.
What is the Sandra Waters's area of specialization and corresponding taxonomy classification?
The Sandra Waters's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When did the Sandra Waters receive its 1669698874?
The Sandra Waters was issued its 1669698874 on 2007-04-17, which is the date when the organization was assigned this unique identifier.
When was the information related to Sandra Waters most recently updated or refreshed?
The details pertaining to the Sandra Waters, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.