Provider Demographics
NPI:1669679973
Name:CONBOY MACY, ANN CALDWELL
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:CALDWELL
Last Name:CONBOY MACY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3324 STATE ST
Mailing Address - Street 2:STE H
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2665
Mailing Address - Country:US
Mailing Address - Phone:805-682-1433
Mailing Address - Fax:805-898-9982
Practice Address - Street 1:3324 STATE ST
Practice Address - Street 2:STE H
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2665
Practice Address - Country:US
Practice Address - Phone:805-682-1433
Practice Address - Fax:805-898-9982
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16109111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor