MEDICARE: DR. CAROLINA SPROHNLE 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
1	111N00000X	Chiropractor	23483	CA

General Provider Information

NPI Number	:	1801916747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINA SPROHNLE D.C.

Provider Business Mailing Address
First Line	:	2588 MISSION ST
Second Line	:	201
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2592
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2588 MISSION ST
Second Line	:	201
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2592
Country	:	US
Telephone Number	:	415-695-1552
Fax Number	:	415-695-0673

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. CAROLINA SPROHNLE D.C.” Practice Location

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