Provider Demographics
NPI:1124438403
Name:SPINAL CONNECTION INC
Entity type:Organization
Organization Name:SPINAL CONNECTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-540-9270
Mailing Address - Street 1:1940 5TH AVE
Mailing Address - Street 2:STE 302
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-2364
Mailing Address - Country:US
Mailing Address - Phone:619-540-9270
Mailing Address - Fax:
Practice Address - Street 1:1940 5TH AVE
Practice Address - Street 2:STE 302
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-2364
Practice Address - Country:US
Practice Address - Phone:619-540-9270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31551261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center