Jerry Lee Berneathy in San Diego - Chiropractor
Jerry Lee Berneathy - NPI 1780870907
Jerry Lee Berneathy is a Chiropractor in San Diego, California. Jerry Lee Berneathy practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jerry Lee Berneathy is 1780870907. The last update date is 2007-09-21.
Jerry Lee Berneathy's current location address is 1707 Grand Ave, San Diego, California. You can contact this provider via phone number 8582736700 and fax number 8582736702. The mailing address for Jerry Lee Berneathy is 1707 Grand Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lee Berneathy |
|---|---|
| Address | 1707 Grand Ave, San Diego, California |
| Phone Number | 8582736700 |
| Fax Number | 8582736702 |
| Sole Proprietor | Y |
| Credentials | D.C |
NPI Number Detail
| NPI Number | 1780870907 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2007-09-21 |
Provider Mailing Address Detail
| Address | 1707 Grand Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921094469 |
| Phone Number | 8582736700 |
| Fax Number | 8582736702 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 11853 |
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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 unique 10-digit identification code assigned to Jerry Lee Berneathy by the Centers for Medicare & Medicaid Services?
The Jerry Lee Berneathy has been issued the NPI (National Provider Identifier) 1780870907, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jerry Lee Berneathy is physically located?
The Jerry Lee Berneathy is physically situated at the following address: 1707 Grand Ave, San Diego, CA, 921094469.
What is the area of specialization for Jerry Lee Berneathy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerry Lee Berneathy is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780870907 to Jerry Lee Berneathy?
The Jerry Lee Berneathy received its 1780870907 assignment from the Centers for Medicare & Medicaid Services on 2007-09-20.
As of what date were the details related to Jerry Lee Berneathy most recently updated or revised?
The information pertaining to Jerry Lee Berneathy, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-21.