Individual provider · Type 1 NPI

Brandon Lee Nissen, DC

Chiropractor · Antioch, CA

NPI number 1508565169 Active

Practice location

3381 Deer Valley Rd
Antioch, CA 94531-6664

Call (925) 757-7571 Map

Fax (925) 757-7114

Mailing address

1342 E Covey Run Ct
Eagle, ID 83616-4273

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC36545 (ID)

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.

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About NPI 1508565169

Brandon Lee Nissen, DC's National Provider Identifier is 1508565169, issued on Mar 2, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Antioch, CA. The record was last updated on Jan 15, 2024.