Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 14181A | CA |
NPI | 1477639169 |
---|---|
Provider Name | Dr. E Eugene Orlowsky |
First Address | San Marino, CA 91108-1638 |
Second Address | San Marino, CA 91108-1638 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U16897 | (02) | CA |