Individual
DR. CHARLES F. WORTISKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1405 COMMERCIAL WAY, SUITE 100, BAKERSFIELD, CA 93309-0620
(661) 327-4246
(661) 327-4022
Mailing address
11811 DELL RAPIDS CT, BAKERSFIELD, CA 93312-5716
(661) 587-8061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0155770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607200400
US DEPARTMENT OF LABOR
CA
01
—
770449204
TAX ID #
CA
Enumeration date
10/18/2005
Last updated
07/20/2010
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