Organization
DIPPE CHIROPRACTIC CORPORATION
Active
Other names
Life Chiropractic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY WILLIAM DIPPE' D.C. (OWNER)
(707) 823-6406
Entity
Organization
Contact information
Practice address
7765 BODEGA AVE, SEBASTOPOL, CA 95472-3575
(707) 823-6406
(707) 823-6408
Mailing address
7765 BODEGA AVE, SEBASTOPOL, CA 95472-3575
(707) 823-6406
(707) 823-6408
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC001351L
PA
111N00000X
Chiropractor
DC001454L
PA
111N00000X
Chiropractor
DC10776
CA
111N00000X
Chiropractor
Primary
DC10832
CA
Other
Enumeration date
05/08/2007
Last updated
06/09/2008
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