NPI Details | |
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NPI | 1235169053 |
Enumeration Date | 07/04/2006 |
Last Updated | 07/08/2007 |
Entity Type | Healthcare Provider |
Active | Over 11 years ago |
Authorized Information | |
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Name | JESSICA LEE JESSICA |
Position | OWNER |
Phone | (510) 883-1126 |
Fax | (510) 883-9926 |
Practice Location | |
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1250 ADDISON ST STE 102 BERKELEY CA, 94702-1749, US |
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Phone | (510) 883-1126 |
Fax | (510) 883-9926 |
Business Location | |
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1250 ADDISON ST STE 102 BERKELEY CA, 94702-1749, US |
|
Phone | (510) 883-1126 |
Fax | (510) 883-9926 |
Toxanomy | |
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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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