Individual provider · Type 1 NPI
Jerome Michael Decapua, DC
Chiropractor · Willow Creek, CA
NPI number
1023167434
Active
Practice location
39032 Highway 299, Suite 4
Willow Creek, CA 95573-0540
Mailing address
PO Box 540
Willow Creek, CA 95573-0540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 15178 (CA) |
Chiropractor: 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 interrelationship with other body systems.
About NPI 1023167434
Jerome Michael Decapua, DC's National Provider Identifier is 1023167434, issued on Jan 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Willow Creek, CA. The record was last updated on Jul 8, 2007.