Provider Demographics
NPI:1891921326
Name:GREGG J. CARB CHIROPRACTIC
Entity Type:Organization
Organization Name:GREGG J. CARB CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:415-362-5092
Mailing Address - Street 1:220 SANSOME ST STE 530
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-2720
Mailing Address - Country:US
Mailing Address - Phone:415-362-5092
Mailing Address - Fax:
Practice Address - Street 1:220 SANSOME ST STE 530
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-2720
Practice Address - Country:US
Practice Address - Phone:415-362-5092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0170470111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty