Provider Demographics
NPI:1437206646
Name:AUERBACH, TAMI S (DC)
Entity Type:Individual
Prefix:DR
First Name:TAMI
Middle Name:S
Last Name:AUERBACH
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 1:2903 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5901
Mailing Address - Country:US
Mailing Address - Phone:619-542-1534
Mailing Address - Fax:619-692-8170
Practice Address - Street 1:2903 4TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-5901
Practice Address - Country:US
Practice Address - Phone:619-542-1534
Practice Address - Fax:619-692-8170
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA016248111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health