Individual
DR. JERI LYNN ULBERG
Active
Individual
DR. JERI LYNN ULBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC25942
CA
111NS0005X
Sports Physician Chiropractor
Primary
DC25942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0259420
BLUE SHIELD
CA
Enumeration date
03/05/2007
Last updated
05/03/2018
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