Doctor Name: | DR. E. MARK WATERMAN |
NPI Number: | 1710006432 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | AH, DC, IDE |
License Number: | DC19321 |
Business Practice Address: | 2440 W. Arrow Route Suite 5a Upland, CA - 917869450 |
Business Phone Number: | 9096702225 |
Business Fax Number: | 9096702227 |
Mailing Address: | 2440 W. Arrow Route, Suite 5a UPLAND |
State: | CA |
Postal Code: | 917869450 |
Phone Number: | 9096702225 |
Fax Number: | 9096702227 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC19321 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
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. |