Kenneth E Crum, DC
Individual provider Active NPI Chiropractor · Etna, CA
NPI 1992299481 · NPPES record last updated Jun 18, 2018
Key facts
- NPI
- 1992299481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 34208 (CA)
- Practice address
- 4400 E Callahan Rd
Etna, CA 96027-9776 - Phone
- (530) 966-0332
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crum Chiropractic Corp | Chiropractor | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34208 | CA | Yes |
Addresses
Primary practice location
4400 E Callahan Rd
Etna, CA 96027-9776
Mailing address
4400 E Callahan Rd
Etna, CA 96027-9776
Phone (530) 966-0332
Other providers in Etna, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.