Provider Demographics
NPI:1073954616
Name:COX, ERIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:DAUGHERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12150 INDUSTRY BLVD STE 45
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:CA
Mailing Address - Zip Code:95642-9375
Mailing Address - Country:US
Mailing Address - Phone:209-223-4442
Mailing Address - Fax:
Practice Address - Street 1:12150 INDUSTRY BLVD STE 45
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642-9375
Practice Address - Country:US
Practice Address - Phone:209-223-4442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor