Provider Demographics
NPI:1386623924
Name:SMITH, MARGARET K (DC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:K
Last Name:SMITH
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6615 OAK HILL DR
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-9636
Mailing Address - Country:US
Mailing Address - Phone:916-251-9034
Mailing Address - Fax:
Practice Address - Street 1:8700 AUBURN FOLSOM RD STE 400
Practice Address - Street 2:
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-8501
Practice Address - Country:US
Practice Address - Phone:916-251-9034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01635230OtherBCBSI
ILV05064Medicare UPIN
IL01635230OtherBCBSI