Jonathan Joel Widenbaum in Dublin - Chiropractor

Jonathan Joel Widenbaum - NPI 1285710368

Jonathan Joel Widenbaum is a Chiropractor in Dublin, California. Jonathan Joel Widenbaum practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jonathan Joel Widenbaum is 1285710368. The last update date is 2007-07-08.

Jonathan Joel Widenbaum's current location address is 7450 San Ramon Rd, Dublin, California. You can contact this provider via phone number 9258298484 and fax number 9258291806. The mailing address for Jonathan Joel Widenbaum is 7450 San Ramon Rd, Dublin, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Joel Widenbaum
Address 7450 San Ramon Rd, Dublin, California
Phone Number 9258298484
Fax Number 9258291806
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1285710368
Provider Enumeration Date 2006-10-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7450 San Ramon Rd
City Dublin
State California (CA)
Post Code 945682338
Phone Number 9258298484
Fax Number 9258291806

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 19647
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19647 CA LICENSE NO. FOR BILLING

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FAQs about Jonathan Joel Widenbaum

What is the unique 10-digit identification code assigned to Jonathan Joel Widenbaum by the Centers for Medicare & Medicaid Services?

The Jonathan Joel Widenbaum has been issued the NPI (National Provider Identifier) 1285710368, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Jonathan Joel Widenbaum's physical address?

The Jonathan Joel Widenbaum is physically located at 7450 San Ramon Rd, in the city of Dublin, CA, with the postal code 945682338.

What is Jonathan Joel Widenbaum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jonathan Joel Widenbaum is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date did the Jonathan Joel Widenbaum receive its 1285710368 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan Joel Widenbaum was assigned its 1285710368 by the Centers for Medicare & Medicaid Services on 2006-10-31.

When was the information related to Jonathan Joel Widenbaum most recently updated or refreshed?

The details pertaining to the Jonathan Joel Widenbaum, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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