| NPI Details | |
|---|---|
| NPI | 1235169053 |
| Enumeration Date | 07/04/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | JESSICA LEE JESSICA |
| Position | OWNER |
| Phone | (510) 883-1126 |
| Fax | (510) 883-9926 |
| Practice Location | |
|---|---|
| 1250 ADDISON ST STE 102 BERKELEY CA, 94702-1749, US |
|
| Phone | (510) 883-1126 |
| Fax | (510) 883-9926 |
| Business Location | |
|---|---|
| 1250 ADDISON ST STE 102 BERKELEY CA, 94702-1749, US |
|
| Phone | (510) 883-1126 |
| Fax | (510) 883-9926 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 111NS0005X |
| License State | California |
| License Number | DC-27916 |
| Remove 1235169053 NPI Number | |
According to our database, Innersport Chiropractic, Ltd. NPI is 1235169053, taxonomy code is 111NS0005X and license number is DC-27916, license state is located at California. Innersport Chiropractic, Ltd. physically located at 1250 Addison St Ste 102, Berkeley CA, 94702-1749. NPI Number 1033115704 has the healthcare provider type.
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1235169053 NPI number is provided on an as is basis without warranty of any kind. 1235169053 is maintained by the National Plan & Provider Enumeration System. The contents of Innersport Chiropractic, Ltd. are for informational purposes only.
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