Organization
SPEARMAN CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STEWART SPEARMAN D.C. (CHIROPRACTOR/OWNER)
(323) 663-1066
Entity
Organization
Contact information
Practice address
1279 N BERENDO ST, LOS ANGELES, CA 90029-1601
(323) 663-1066
Mailing address
4610 NOB HILL DR, LOS ANGELES, CA 90065-4121
(323) 663-1066
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC24621
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC24621
MEDICARE ID (PTAN)
CA
Enumeration date
08/06/2008
Last updated
08/06/2008
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