Provider Demographics
NPI:1073705976
Name:CROSBY, HERB (DC)
Entity Type:Individual
Prefix:DR
First Name:HERB
Middle Name:
Last Name:CROSBY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 BUCKLER AVE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-1310
Mailing Address - Country:US
Mailing Address - Phone:424-750-0600
Mailing Address - Fax:
Practice Address - Street 1:1209 BUCKLER AVE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-1310
Practice Address - Country:US
Practice Address - Phone:424-750-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21661111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor