Organization
C. GREG HENDERSON DC INC A CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. GREG HENDERSON D.C. (PRESIDENT)
(760) 728-2800
Entity
Organization
Contact information
Practice address
5256 S MISSION RD, SUITE 406, BONSALL, CA 92003-3614
(760) 728-2800
(760) 509-1313
Mailing address
5256 S MISSION RD, SUITE 406, BONSALL, CA 92003-3614
(760) 728-2800
(760) 509-1313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC13548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0135480
BLUE SHIELD
CA
Enumeration date
05/21/2007
Last updated
03/20/2012
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