Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 2017 | MA |
N | 111N00000X | Chiropractor | 27033 | CA |
Y | 111NR0400X | Rehabilitation Chiropractor | 27033 | CA |
N | 111NS0005X | Chiropractic Sports Physician | 27033 | CA |
NPI | 1285952523 |
---|---|
Provider Name | Dr. Cynthia Coyne |
First Address | San Francisco, CA 94123-4142 |
Second Address | San Francisco, CA 94123-4142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2010 |
Last Update Date | 11/05/2010 |