Healthcare Provider Details
I. General information
NPI: 1104813708
Provider Name (Legal Business Name): RICHARD CHARLES TURNER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/29/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1324 MANGROVE AVE
CHICO CA
95926-2628
US
IV. Provider business mailing address
1324 MANGROVE AVE
CHICO CA
95926-2628
US
V. Phone/Fax
- Phone: 530-342-2111
- Fax: 530-342-2116
- Phone: 530-342-2111
- Fax: 530-342-2116
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0200X |
| Taxonomy | Radiology Chiropractor |
| License Number | DC11675 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: