Individual
DR. JEFFREY ALEXANDER CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, CSCS, ART
Contact information
Practice address
1250 ADDISON ST, SUITE 102, BERKELEY, CA 94702-1700
(510) 883-1126
(510) 883-9926
Mailing address
1250 ADDISON ST, SUITE 102, BERKELEY, CA 94702-1700
(415) 519-8376
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
32375
CA
111NS0005X
Sports Physician Chiropractor
Primary
32375
CA
Other
Enumeration date
09/14/2012
Last updated
07/17/2013
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