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NPI Code Detail

MEDICARE: DR. SUSAN RABIA MEAD D.C.

MEDICARE: DR. SUSAN RABIA MEAD 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
1111N00000XChiropractor16,738CA

General Provider Information

NPI Number : 1952427486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN RABIA MEAD D.C.
Provider Business Mailing Address
First Line : 1927 22ND AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94116-1210
Country : US
Telephone Number : 415-564-0732
Fax Number : 415-564-2791
Provider Business Practice Location Address
First Line : 1927 22ND AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94116-1210
Country : US
Telephone Number : 415-564-0732
Fax Number : 415-564-2791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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