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NPI Code Detail

MEDICARE: DR. KATHARINA CHRISTINE WELBORN D.C.

MEDICARE:  DR. KATHARINA CHRISTINE WELBORN  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorB01061NV
2111NI0013XIndependent Medical Examiner ChiropractorB01061NV
3111N00000XChiropractorDC-29303CA

General Provider Information

NPI Number : 1174507701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHARINA CHRISTINE WELBORN D.C.
Provider Business Mailing Address
First Line : 8700 AURBURN FOLSOM RD
Second Line : SUITE 300
City : GRANITE BAY
State : CA
Zip : 95746-9501
Country : US
Telephone Number : 916-872-1120
Fax Number : 916-872-1125
Provider Business Practice Location Address
First Line : 8605 AUBURN FOLSOM RD
Second Line :
City : GRANITE BAY
State : CA
Zip : 95746-6202
Country : US
Telephone Number : 916-872-1120
Fax Number : 916-872-1125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 12/30/2019

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