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DR. MICHAEL HENRY CROSBIE DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1205853702

Individual Registrant:
DR. MICHAEL HENRY CROSBIE DC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1828 MAIN ST  FORTUNA, CA 95540-2717 US
Tel: 707-725-5668  Fax: 707-725-8802

Contact information for business:
1828 MAIN ST  FORTUNA, CA 95540-2717 US
Tel: 707-725-5668  Fax: 707-725-8802

Registration Information:
NPI: 1205853702
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CADC14580

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ST OF CA CORP ID2878101CA01
BOARD OF CHIROPRACTIC EXADC14580CA01




HEALTH CARE JOBS CA - Page 1



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