Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 15816 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 15816 | CA |
NPI | 1649534645 |
---|---|
Provider Name | Dr. Joseph E Cobbs |
First Address | El Cajon, CA 92020-3911 |
Second Address | El Cajon, CA 92020-3911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2012 |
Last Update Date | 25/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15816 | CALIFORNIA BOARD OF CHIROPRACTIC EXAMINERS (01) | CA |