Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN1001X | Nutrition | S03489 | MD |
N | 111NR0400X | Rehabilitation Chiropractor | S03489 | MD |
N | 111NS0005X | Chiropractic Sports Physician | S03489 | MD |
N | 111NX0800X | Chiropractor Orthopedic Specialist | S03489 | MD |
NPI | 1568685139 |
---|---|
Provider Name | Dr. Carmen M Oostburg Sanz |
First Address | Silver Spring, MD 20910-4433 |
Second Address | Silver Spring, MD 20910-4433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |