Provider Demographics
NPI:1336158807
Name:PEARSON, CHELSEA DAWN (DC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:DAWN
Last Name:PEARSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:DAWN
Other - Last Name:TOOTHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2910 JEFFERSON ST
Mailing Address - Street 2:203
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2356
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2910 JEFFERSON ST
Practice Address - Street 2:203
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2356
Practice Address - Country:US
Practice Address - Phone:760-434-9454
Practice Address - Fax:760-434-9453
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC28599Medicare ID - Type Unspecified