Organization
DR. SCOTT NISSENBAUM CHIROPRACTIC LLC
Active
Organization
DR. SCOTT NISSENBAUM CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DAVID NISSENBAUM D.C. (OWNER)
(650) 226-8348
Entity
Organization
Contact information
Practice address
1100 LAUREL ST STE D, SAN CARLOS, CA 94070-5000
(650) 226-8348
(650) 666-6747
Mailing address
1100 LAUREL ST STE D, SAN CARLOS, CA 94070-5000
(650) 226-8348
(650) 666-6747
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
31093
CA
Other
Enumeration date
04/26/2013
Last updated
05/19/2020
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