Provider Demographics
NPI:1679577134
Name:MCMANUS, FOSTER CAMPBELL (DC)
Entity Type:Individual
Prefix:DR
First Name:FOSTER
Middle Name:CAMPBELL
Last Name:MCMANUS
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 1:1670 SIERRA AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993
Mailing Address - Country:US
Mailing Address - Phone:530-671-4976
Mailing Address - Fax:530-671-4976
Practice Address - Street 1:1670 SIERRA AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993
Practice Address - Country:US
Practice Address - Phone:530-671-4976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19398111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0193980Medicare ID - Type UnspecifiedCHIROPRACTOR