NPI | 1790115558 |
---|---|
Doing Business As | PENINSULA CHIROPRACTIC GROUP |
Doing Business As | CROWN CITY CHIROPRACTIC AND SPORTS PERFORMANCE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER WARREN COULSBY President 619-985-1579 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA 3718) |
Enumeration Date | 2013-11-14 |
Last Update Date | 2025-01-21 |