Organization
ADAM CANTOR PROFESSIONAL CHIROPRACTIC CORP.
Active
Other names
Cantor Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM HARRIS CANTOR D.C (OWNER)
(415) 454-9600
Entity
Organization
Contact information
Practice address
754 SIR FRANCIS DRAKE BLVD STE 2, SAN ANSELMO, CA 94960-1933
(415) 454-9600
(415) 454-3509
Mailing address
754 SIR FRANCIS DRAKE BLVD STE 2, SAN ANSELMO, CA 94960-1933
(415) 454-9600
(415) 454-3509
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0028460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0284601
MEDICARE PTAN
CA
01
—
ZZZ05059Z
MEDICARE PTAN
CA
Enumeration date
01/18/2007
Last updated
10/24/2014
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