Jerry William Dippe in Sebastopol - Chiropractor
Jerry William Dippe - NPI 1083741144
Jerry William Dippe is a Chiropractor in Sebastopol, California. Jerry William Dippe practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jerry William Dippe is 1083741144. The last update date is 2008-06-09.
Jerry William Dippe's current location address is 7765 Bodega Ave, Sebastopol, California. You can contact this provider via phone number 7078236406 and fax number 7078236408. The mailing address for Jerry William Dippe is 7765 Bodega Ave, Sebastopol, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry William Dippe |
|---|---|
| Address | 7765 Bodega Ave, Sebastopol, California |
| Phone Number | 7078236406 |
| Fax Number | 7078236408 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1083741144 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | 7765 Bodega Ave |
|---|---|
| City | Sebastopol |
| State | California (CA) |
| Post Code | 95472 |
| Phone Number | 7078236406 |
| Fax Number | 7078236408 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC10776 |
|
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 |
|---|---|---|---|
| ZZZ542232 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the Jerry William Dippe's unique identification number?
The Jerry William Dippe has been assigned the NPI (National Provider Identifier) Number 1083741144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jerry William Dippe located?
The Jerry William Dippe is located at 7765 Bodega Ave, Sebastopol, CA 95472.
What is the Jerry William Dippe's area of specialization and corresponding taxonomy classification?
The Jerry William Dippe's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jerry William Dippe receive the assignment of its 1083741144 from the Centers for Medicare & Medicaid Services?
The Jerry William Dippe was issued its 1083741144 by the Centers for Medicare & Medicaid Services on 2007-02-27.
As of what date was the information regarding Jerry William Dippe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry William Dippe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-09.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH