Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC17129 | CA |
NPI | 1225021447 |
---|---|
Provider Name | Dr. D B Ferrero |
First Address | Sacramento, CA 95821-4300 |
Second Address | Sacramento, CA 95821-4300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 15/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
680241199 | GROUP HEALTH (01) | CA |