Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC 26673 | CA |
NPI | 1154410363 |
---|---|
Provider Name | Nancy Lynn Auge |
First Address | San Francisco, CA 94123-3807 |
Second Address | San Francisco, CA 94123-3807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC 26673 | DOCTOR OF CHIROPRACTIC (01) | CA |