Provider Demographics
NPI:1841332707
Name:CRABILL, NICHOLAS KYLE (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:KYLE
Last Name:CRABILL
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24335 PRIELIPP RD
Mailing Address - Street 2:SUITE 129
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-7426
Mailing Address - Country:US
Mailing Address - Phone:951-304-9949
Mailing Address - Fax:951-304-9975
Practice Address - Street 1:32395 CLINTON KEITH RD STE 9B
Practice Address - Street 2:
Practice Address - City:WILDOMAR
Practice Address - State:CA
Practice Address - Zip Code:92595-8509
Practice Address - Country:US
Practice Address - Phone:951-304-9949
Practice Address - Fax:951-304-9975
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30396111N00000X
CADC30396111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor