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NPI Code Detail

MEDICARE: DR. ANN C STADLER D.C.

MEDICARE: DR. ANN C STADLER 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
1111N00000XChiropractor20408CA

General Provider Information

NPI Number : 1316916547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN C STADLER D.C.
Provider Business Mailing Address
First Line : 111 DAKOTA AVE
Second Line : SUITE 4
City : SANTA CRUZ
State : CA
Zip : 95060-6626
Country : US
Telephone Number : 831-459-9985
Fax Number : 831-459-0543
Provider Business Practice Location Address
First Line : 111 DAKOTA AVE
Second Line : SUITE 4
City : SANTA CRUZ
State : CA
Zip : 95060-6626
Country : US
Telephone Number : 831-459-9985
Fax Number : 831-459-0543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ANN C STADLER D.C.” Practice Location

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