Organization
BECK CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Other names
Beck Chiropractic PC
Organization subpart
No
Provider details
NPI number
Authorized official
JASON P BECK D.C. (PRESIDENT)
(707) 766-6363
Entity
Organization
Contact information
Practice address
6 PETALUMA BLVD N STE B8, PETALUMA, CA 94952-3051
(707) 766-6363
(707) 766-6218
Mailing address
6 PETALUMA BLVD N STE B8, PETALUMA, CA 94952-3051
(707) 766-6363
(707) 766-6218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 28208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700813540
INDIVIDUAL NPI #
CA
01
—
DC028080
MEDICARE
CA
01
—
ZZZ021402
GROUP PTAM #
CA
Enumeration date
01/05/2009
Last updated
09/04/2009
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