Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC 28299 | CA |
NPI | 1346331964 |
---|---|
Provider Name | Dr. Steve Abercrombie |
First Address | Fremont, CA 94536-3811 |
Second Address | Fremont, CA 94536-3811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 09/07/2007 |