Provider Demographics
NPI:1922468610
Name:SPICER, MARGARET (DC)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:SPICER
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 1:25 W 25TH AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-2274
Mailing Address - Country:US
Mailing Address - Phone:650-513-0797
Mailing Address - Fax:
Practice Address - Street 1:25 W 25TH AVE STE 8
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-2274
Practice Address - Country:US
Practice Address - Phone:650-375-2545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33470111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA47730OtherBOARD OF CHIROPRACTIC EXAMINERS