Provider Demographics
NPI:1528391190
Name:CRANDELL, NORMAN ALLAN (DC)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:ALLAN
Last Name:CRANDELL
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 1:6530 HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:CA
Mailing Address - Zip Code:95018-9757
Mailing Address - Country:US
Mailing Address - Phone:831-335-9300
Mailing Address - Fax:831-335-9304
Practice Address - Street 1:6530 HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:CA
Practice Address - Zip Code:95018-9757
Practice Address - Country:US
Practice Address - Phone:831-335-9300
Practice Address - Fax:831-335-9304
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor