Organization Name: | CATHY A. JOSEPH D.C./W. RICHARD KIDD D.C. A CHIROPRACTIC CORPORATION |
NPI Number: | 1114912912 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM RICHARD KIDD (PRESIDENT) |
Mailing Address: | 1265 El Camino Real Suite 101 Santa Clara |
State: | CA US |
Postal Code: | 950504257 |
Phone Number: | 4082488392 |
Fax Number: | 4082483532 |
NPI Enumeration Date: | 09/18/2005 |
NPI Last Update Date: | 08/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | COR 538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |