Glass Velichko Chiropractic P.c.

NPI 1043605504 - Chiropractor - 111N00000X

NPI Details
NPI 1043605504
Enumeration Date 04/01/2015
Last Updated 05/27/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name IRINA IRINA
Position CHIROPRACTOR/VICE PRESIDENT/CO-OWNE
Phone (510) 858-5370
Fax
Practice Location
435 8TH ST
SUITE 203
OAKLAND CA, 94607-3963, US
Phone (510) 858-5370
Fax
Business Location
435 8TH ST
SUITE 203
OAKLAND CA, 94607-3963, US
Phone (510) 858-5370
Fax
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number 33186
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According to our database, Glass Velichko Chiropractic P.c. NPI is 1043605504, taxonomy code is 111N00000X and license number is 33186, license state is located at California. Glass Velichko Chiropractic P.c. physically located at 435 8th St, Oakland CA, 94607-3963. NPI Number 1033115704 has the healthcare provider type.

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1043605504 NPI number is provided on an as is basis without warranty of any kind. 1043605504 is maintained by the National Plan & Provider Enumeration System. The contents of Glass Velichko Chiropractic P.c. are for informational purposes only.