Provider Demographics
NPI:1962759399
Name:MEIN, CAROLYN L (DC)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:L
Last Name:MEIN
Suffix:
Gender:F
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:PO BOX 8112
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92091-9802
Mailing Address - Country:US
Mailing Address - Phone:858-756-3704
Mailing Address - Fax:858-756-6933
Practice Address - Street 1:16236 SAN DIEGUITO RD
Practice Address - Street 2:BLDG 4 - SUITE 10
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92067
Practice Address - Country:US
Practice Address - Phone:858-756-3704
Practice Address - Fax:858-756-6933
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor