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DR. MICHAEL HENRY CROSBIE DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1205853702
Individual Registrant:DR. MICHAEL HENRY CROSBIE DC
Gender: M
Not Sole Proprietor
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
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
Tel: 707-725-5668 Fax: 707-725-8802
Registration Information:
NPI: 1205853702
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CA | DC14580 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| ST OF CA CORP ID | 2878101 | CA | 01 |
| BOARD OF CHIROPRACTIC EXA | DC14580 | CA | 01 |
