Provider Demographics
NPI:1568685139
Name:OOSTBURG SANZ, CARMEN M (DC)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:M
Last Name:OOSTBURG SANZ
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 1:962 WAYNE AVE
Mailing Address - Street 2:STE. L-A
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4433
Mailing Address - Country:US
Mailing Address - Phone:301-587-9717
Mailing Address - Fax:301-587-9714
Practice Address - Street 1:962 WAYNE AVE
Practice Address - Street 2:STE. L-A
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4433
Practice Address - Country:US
Practice Address - Phone:301-587-9717
Practice Address - Fax:301-587-9714
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03489111NN1001X, 111NR0400X, 111NS0005X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitation
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedic