Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC24865 | CA |
N | 111NX0100X | Occupational Health | DC24865 | CA |
NPI | 1306873104 |
---|---|
Provider Name | Dr. Sandra Christa Karlic-Hiner |
First Address | San Luis Obispo, CA 93401-7339 |
Second Address | San Luis Obispo, CA 93401-7339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 15/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC24865 | STATE LIC NUMBER (01) | CA |
U73864 | (02) | CA |