Organization Name: | COLGIN CHIROPRACTIC AND BAY AREA LASER CENTER |
NPI Number: | 1962712703 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER MICHAEL COLGIN (CLINIC DIRECTOR) |
Mailing Address: | 2001 Winward Way Suite 102 San Mateo |
State: | CA US |
Postal Code: | 944042469 |
Phone Number: | 6502121000 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2010 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC26034 |
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. |