Healthcare Provider Details

I. General information

NPI: 1154410363
Provider Name (Legal Business Name): NANCY LYNN AUGE D.C., A.R.T
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2797 UNION ST
SAN FRANCISCO CA
94123-3807
US

IV. Provider business mailing address

2797 UNION ST
SAN FRANCISCO CA
94123-3807
US

V. Phone/Fax

Practice location:
  • Phone: 415-441-8446
  • Fax: 415-441-8451
Mailing address:
  • Phone: 415-441-8446
  • Fax: 415-441-8451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC 26673
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: