Individual provider · Type 1 NPI
William Keith Modenbach, DC
Chiropractor · Walnut Creek, CA
NPI number
1720149487
Active
Practice location
43 Quail Court, #202
Walnut Creek, CA 94596
Mailing address
1738 Stanley Dollar Drive, #2B
Walnut Creek, CA 94595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 19538 (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 1720149487
William Keith Modenbach, DC's National Provider Identifier is 1720149487, issued on Dec 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Walnut Creek, CA. The record was last updated on Jul 8, 2007.