Jack Martin Bourla in Redwood City - Chiropractor
Jack Martin Bourla - NPI 1013055755
Jack Martin Bourla is a Chiropractor in Redwood City, California. Jack Martin Bourla practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jack Martin Bourla is 1013055755. The last update date is 2007-07-08.
Jack Martin Bourla's current location address is 499 Seaport Ct, Redwood City, California. You can contact this provider via phone number 6503651473 and fax number 6503651474. The mailing address for Jack Martin Bourla is 499 Seaport Ct, Redwood City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Martin Bourla |
|---|---|
| Address | 499 Seaport Ct, Redwood City, California |
| Phone Number | 6503651473 |
| Fax Number | 6503651474 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1013055755 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 499 Seaport Ct |
|---|---|
| City | Redwood City |
| State | California (CA) |
| Post Code | 940632783 |
| Phone Number | 6503651473 |
| Fax Number | 6503651474 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC25312 |
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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 |
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Post Comment/ Review Below
What is the Jack Martin Bourla's 1013055755?
The Jack Martin Bourla's NPI (National Provider Identifier) Number is 1013055755. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jack Martin Bourla?
The Jack Martin Bourla is physically situated at 499 Seaport Ct, in the city of Redwood City, state of CA, with the postal code 940632783.
What is the Jack Martin Bourla's specialty and taxonomy code?
The Jack Martin Bourla's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Jack Martin Bourla receive the assignment of its 1013055755 from the Centers for Medicare & Medicaid Services?
The Jack Martin Bourla was issued its 1013055755 by the Centers for Medicare & Medicaid Services on 2007-02-02.
As of what date was the information pertaining to Jack Martin Bourla, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack Martin Bourla, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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