Provider Demographics
NPI:1164543039
Name:CHADWICK, AMY E (ND)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:E
Last Name:CHADWICK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 SACADA CIR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-8031
Mailing Address - Country:US
Mailing Address - Phone:858-332-1645
Mailing Address - Fax:858-332-1646
Practice Address - Street 1:2441 SACADA CIR
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-8031
Practice Address - Country:US
Practice Address - Phone:858-332-1645
Practice Address - Fax:858-332-1646
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK63175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath