Provider Demographics
NPI:1033259692
Name:RICHARDS, N ROWAN (DC)
Entity Type:Individual
Prefix:DR
First Name:N ROWAN
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 S GLENDORA AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-3418
Mailing Address - Country:US
Mailing Address - Phone:626-963-1678
Mailing Address - Fax:626-963-9869
Practice Address - Street 1:242 S GLENDORA AVE
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-3418
Practice Address - Country:US
Practice Address - Phone:626-963-1678
Practice Address - Fax:626-963-9869
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17944111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU27706Medicare UPIN