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Organization
SPINAL HEALTH CHIROPRACTIC
Active
Organization
SPINAL HEALTH CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ALLEN D.C. (OWNER)
(650) 756-9003
Entity
Organization
Contact information
Practice address
2340 SANTA RITA RD, SUITE #3, PLEASANTON, CA 94566-4151
(650) 756-9003
Mailing address
2340 SANTA RITA RD, SUITE #3, PLEASANTON, CA 94566-4151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0286150
MEDICARE PTAN
CA
Enumeration date
03/05/2010
Last updated
03/05/2010
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