Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | CHIA 370 | ID |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC12438 | CA |
NPI | 1437146735 |
---|---|
Provider Name | Cathy Ann Joseph |
First Address | Santa Clara, CA 95050-4257 |
Second Address | Santa Clara, CA 95050-4257 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2005 |
Last Update Date | 21/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T04763 | (02) | CA |