Provider Demographics
NPI:1013158799
Name:ATKINS, STANLEY THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:THOMAS
Last Name:ATKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:STAN
Other - Middle Name:
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:2251 CREEK HOLLOW PL
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-4025
Mailing Address - Country:US
Mailing Address - Phone:760-743-2410
Mailing Address - Fax:
Practice Address - Street 1:2251 CREEK HOLLOW PL
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-4025
Practice Address - Country:US
Practice Address - Phone:760-743-2410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor