Individual provider · Type 1 NPI
Beverly Jean Pencek, DC
Chiropractor · Port Reyes Station, CA
Practice location
11100 Shoreline Hwy
Port Reyes Station, CA 94956
Fax (415) 663-1842
Mailing address
11100 State Route 1, PO Box 236
Port Reyes Station, CA 94956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 26914 (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 1508937194
Beverly Jean Pencek, DC's National Provider Identifier is 1508937194, issued on Nov 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Reyes Station, CA. The record was last updated on Jul 8, 2007.