Provider Demographics
NPI:1225021447
Name:FERRERO, D B (DC)
Entity Type:Individual
Prefix:DR
First Name:D
Middle Name:B
Last Name:FERRERO
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 1:4343 MARCONI AVE
Mailing Address - Street 2:STE. 5
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-4300
Mailing Address - Country:US
Mailing Address - Phone:916-484-1660
Mailing Address - Fax:916-486-2563
Practice Address - Street 1:4343 MARCONI AVE
Practice Address - Street 2:STE. 5
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-4300
Practice Address - Country:US
Practice Address - Phone:916-484-1660
Practice Address - Fax:916-486-2563
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2016-04-15
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-04-28
Provider Licenses
StateLicense IDTaxonomies
CADC17129111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA680241199OtherGROUP HEALTH
CA680241199OtherGROUP HEALTH