Provider Demographics
NPI:1588968689
Name:WERBELOW, ANTHONY (DC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:WERBELOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 S MELROSE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-5472
Mailing Address - Country:US
Mailing Address - Phone:760-599-4900
Mailing Address - Fax:760-599-9037
Practice Address - Street 1:1680 S MELROSE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-5472
Practice Address - Country:US
Practice Address - Phone:760-599-4900
Practice Address - Fax:760-599-9037
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28759111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor