Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC20228 | CA |
NPI | 1003356924 |
---|---|
Provider Name | Joseph Horrigan |
First Address | Whittier, CA 90604-4051 |
Second Address | Whittier, CA 90604-4051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2017 |
Last Update Date | 24/02/2017 |