Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 14352 | CA |
NPI | 1003245051 |
---|---|
Provider Name | John David Currie |
First Address | Union City, CA 94587-1221 |
Second Address | Union City, CA 94587-1221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2013 |
Last Update Date | 09/11/2013 |