Provider Demographics
NPI:1164969176
Name:ROSSON, ERIN (DC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ROSSON
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 1:623 E LATHAM AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4342
Mailing Address - Country:US
Mailing Address - Phone:951-925-8082
Mailing Address - Fax:951-925-8320
Practice Address - Street 1:623 E LATHAM AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4342
Practice Address - Country:US
Practice Address - Phone:951-925-8082
Practice Address - Fax:951-925-8320
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor