Individual
DR. BENJAMIN A MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1155 UNIVERSITY DR, SUITE ONE, MENLO PARK, CA 94025-4431
(650) 326-5927
(650) 326-5929
Mailing address
1155 UNIVERSITY DR, SUITE ONE, MENLO PARK, CA 94025-4431
(650) 326-5927
(650) 326-5929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC27813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0278130
PROVIDER NUMBER
CA
01
—
DC27813
PROVIDER NUMBER
CA
Enumeration date
10/17/2006
Last updated
07/09/2007
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