Individual provider · Type 1 NPI

Jerry Lee Elliott, DC

Chiropractor · San Leandro, CA

NPI number 1639383052 Active

Practice location

1300 Bancroft Ave, Suite 104
San Leandro, CA 94577-5147

Call (510) 357-9331 Map

Fax (510) 351-6054

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X15191 (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.

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About NPI 1639383052

Jerry Lee Elliott, DC's National Provider Identifier is 1639383052, issued on May 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Leandro, CA. The record was last updated on Jul 8, 2007.