Healthcare Provider Details

I. General information

NPI: 1073670030
Provider Name (Legal Business Name): JOSHUA BRINK SANNAR D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 MAGNOLIA ST
GRIDLEY CA
95948-3020
US

IV. Provider business mailing address

1131 CALIFORNIA ST
GRIDLEY CA
95948-2011
US

V. Phone/Fax

Practice location:
  • Phone: 530-846-2511
  • Fax:
Mailing address:
  • Phone: 530-846-4104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC27855
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: