Provider Demographics
NPI:1184716128
Name:ERWIN, DONALD RAY (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:RAY
Last Name:ERWIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:900 FULTON AVE
Mailing Address - Street 2:102
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825
Mailing Address - Country:US
Mailing Address - Phone:916-973-0623
Mailing Address - Fax:916-973-0338
Practice Address - Street 1:900 FULTON AVE
Practice Address - Street 2:102
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825
Practice Address - Country:US
Practice Address - Phone:916-973-0623
Practice Address - Fax:916-973-0338
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0205840Medicare ID - Type Unspecified