DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TED D ROSEN, D.C.

Deactivated Sole Proprietor

TED D ROSEN, D.C. is a Occupational Health (Chiropractor) healthcare provider located in MODESTO, California. NPI 1245296680 is deactivated in the NPPES registry. Verify at CMS.

Occupational Health (Chiropractor) · MODESTO, CA

This NPI has been deactivated. The record was deactivated on November 5, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1245296680
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2006 (1.5300546448087 yrs)
Last Updated
Jan 7, 2008
Deactivated
Nov 5, 2007
License
DC014744 (CA)
Sole Proprietor
Yes

Practice Information

Address
409 COFFEE RD
MODESTO, CA, 953554915
Browse CA providers · Browse ZIP 95355
Phone
2095275346
Fax
2095270124
Primary Specialty
Occupational Health (Chiropractor)
111NX0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.