Provider Demographics
NPI:1851584536
Name:WELSHONS, DEBRA LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:LYNN
Last Name:WELSHONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DEBRA
Other - Middle Name:LYNN
Other - Last Name:HEYANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:6310 FAIR OAKS BLVD # A
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4810
Mailing Address - Country:US
Mailing Address - Phone:916-488-5241
Mailing Address - Fax:916-488-6419
Practice Address - Street 1:6310 FAIR OAKS BLVD # A
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4810
Practice Address - Country:US
Practice Address - Phone:916-488-5241
Practice Address - Fax:916-488-6419
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor