Provider Demographics
NPI:1619993805
Name:RAMSDEN, MARY C (DC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:C
Last Name:RAMSDEN
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 1:1588 S MISSION RD
Mailing Address - Street 2:STE 115
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-4112
Mailing Address - Country:US
Mailing Address - Phone:760-728-9229
Mailing Address - Fax:760-728-8098
Practice Address - Street 1:1588 S MISSION RD
Practice Address - Street 2:STE 115
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-4112
Practice Address - Country:US
Practice Address - Phone:562-322-6533
Practice Address - Fax:562-594-6009
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC11090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U38146Medicare UPIN
CADC11090Medicare ID - Type Unspecified