Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC 26518 | CA |
NPI | 1235465063 |
---|---|
Provider Name | Dr. Ferdinand Earl Wojciechowski |
First Address | Long Beach, CA 90808-1403 |
Second Address | Long Beach, CA 90808-1403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2009 |
Last Update Date | 29/10/2009 |