Provider Demographics
NPI:1417156845
Name:CORNING CHIROPRACTIC OFFICE
Entity Type:Organization
Organization Name:CORNING CHIROPRACTIC OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARBY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:KREMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-824-2448
Mailing Address - Street 1:1518 SOLANO ST STE A
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:CA
Mailing Address - Zip Code:96021-2931
Mailing Address - Country:US
Mailing Address - Phone:530-824-2448
Mailing Address - Fax:530-824-1618
Practice Address - Street 1:1518 SOLANO ST STE A
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:CA
Practice Address - Zip Code:96021-2931
Practice Address - Country:US
Practice Address - Phone:530-824-2448
Practice Address - Fax:530-824-1618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty