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KENT G CARLOMAGNO A PROF CHIROPRACTIC CORP NPI 1467519488


NPI Information

NPI: 1467519488
Provider Name: KENT G CARLOMAGNO A PROF CHIROPRACTIC CORP
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
710 C ST
SUITE 12
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 721-7520
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KENT G CARLOMAGNO A PROF CHIROPRACTIC CORP is a chiropractor in San Rafael, CA. The provider is 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. KENT G CARLOMAGNO A PROF CHIROPRACTIC CORP NPI is 1467519488. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

710 C ST
SUITE 12
SAN RAFAEL, CA
ZIP 94901-857
Phone: (415) 721-7520
Fax: (416) 721-7535

The provider's authorized official is Kent Gene Carlomagno .
The authorized official title is Chiropractor and has the following contact phone number (415) 721-7520.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 1/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor15882CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TO5945MEDICARE UPINCALIFORNIA
2DC0158820MEDICARE PINCALIFORNIA
31467519488OTHERCALIFORNIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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