miscsubjects
has profession · Profession · 1
Objects / Clinician

Clinician Stored source record

SHEILA D WAGNER ND, PT, CNS

1100 LARKSPUR LANDING CIR STE 255, LARKSPUR, CA, 949391816

atlas:atm_npi_1700105285

Block 2012Block Group 2Census Tract 1212Marin CountyCaliforniaUnited States

What is stored

status
A
address
1100 LARKSPUR LANDING CIR STE 255, LARKSPUR, CA, 949391816
npi
1700105285
license
ND1013
taxonomy
Naprapath
other names
[]
last updated
2018-10-29
license state
CA
taxonomy code
172P00000X
all taxonomies
["Physical Therapist, Orthopedic","Nutritionist, Nutrition, Education","Naprapath"]
sole proprietor
YES
enumeration date
2010-05-24
enumeration type
NPI-1
practice locations
1

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{
  "npi": "1700105285",
  "status": "A",
  "address": "1100 LARKSPUR LANDING CIR STE 255, LARKSPUR, CA, 949391816",
  "license": "ND1013",
  "taxonomy": "Naprapath",
  "other_names": [],
  "last_updated": "2018-10-29",
  "license_state": "CA",
  "taxonomy_code": "172P00000X",
  "all_taxonomies": [
    "Physical Therapist, Orthopedic",
    "Nutritionist, Nutrition, Education",
    "Naprapath"
  ],
  "sole_proprietor": "YES",
  "enumeration_date": "2010-05-24",
  "enumeration_type": "NPI-1",
  "practice_locations": 1
}