Provider Demographics
NPI:1801916747
Name:SPROHNLE, CAROLINA (DC)
Entity type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:
Last Name:SPROHNLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:CAROLINA
Other - Last Name:SPROHNLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:2588 MISSION ST
Mailing Address - Street 2:201
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2592
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2588 MISSION ST
Practice Address - Street 2:201
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2592
Practice Address - Country:US
Practice Address - Phone:415-695-1552
Practice Address - Fax:415-695-0673
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23483111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor