Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 13417 | CA |
NPI | 1114146529 |
---|---|
Provider Name | Dr. Louise Michele Webb |
First Address | Castaic, CA 91384-2902 |
Second Address | Castaic, CA 91384-2902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 12/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13417 | LICENSE NUMBER (01) | CA |
DC13417 | BLUE CROSS OF CALIFORNIA (01) | CA |