Individual provider · Type 1 NPI
Jerry Lee Berneathy, D.C
Chiropractor · San Diego, CA
NPI number
1780870907
Active
Practice location
1707 Grand Ave
San Diego, CA 92109-4469
Fax (858) 273-6702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 11853 (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.
3 other providers at this address
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About NPI 1780870907
Jerry Lee Berneathy, D.C's National Provider Identifier is 1780870907, issued on Sep 20, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 21, 2007.