Provider Demographics
NPI:1669485264
Name:FINNEGAN, CAROLYN BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:BETH
Last Name:FINNEGAN
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 1:600 GRAND AVE
Mailing Address - Street 2:STE 301
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-3548
Mailing Address - Country:US
Mailing Address - Phone:510-922-1579
Mailing Address - Fax:
Practice Address - Street 1:600 GRAND AVE
Practice Address - Street 2:STE 301
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-3548
Practice Address - Country:US
Practice Address - Phone:510-922-1579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03485111N00000X
CA29982111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor