Individual provider · Type 1 NPI
Carmelo Dichosa Bantique Jr., DC
Chiropractor · Sacramento, CA
NPI number
1104859552
Active
Practice location
3301 Watt Ave, Suite 400
Sacramento, CA 95821-3621
Fax (916) 483-8555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC29892 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1104859552
Carmelo Dichosa Bantique Jr., DC's National Provider Identifier is 1104859552, issued on Jul 9, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sacramento, CA. The record was last updated on Feb 7, 2011.