NPI 1306142880 · live from the CMS NPI Registry
Susan Ann Birch, DC
Chiropractor in Incline Village, NV. National Provider Identifier 1306142880, active.
NPI record
| NPI | 1306142880 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 216 Lark Ct, Incline Village, NV 89451 |
| Practice phone | 530-546-2225 |
| Mailing address | Po Box 485, Tahoe Vista, CA 96148 |
| Enumerated | February 1, 2011 |
| Last updated | February 1, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 17018 (CA) |
| Chiropractor | 111N00000X | B 314 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.