| NPI Details | |
|---|---|
| NPI | 1235169053 |
| Enumeration Date | 07/04/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 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.
Sponsored links
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.
Sponsored links