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DIPPE CHIROPRACTIC CORPORATION NPI 1740493402


NPI Information

NPI: 1740493402
Provider Name: DIPPE CHIROPRACTIC CORPORATION

Doing Business As: LIFE CHIROPRACTIC OFFICE

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7765 BODEGA AVE
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 823-6406
Get Directions

DIPPE CHIROPRACTIC CORPORATION is a chiropractor in Sebastopol, CA. The provider is 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. DIPPE CHIROPRACTIC CORPORATION NPI is 1740493402. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Life Chiropractic Office.

The provider's business location address is:

7765 BODEGA AVE
SEBASTOPOL, CA
ZIP 95472-575
Phone: (707) 823-6406
Fax: (707) 823-6408

The provider's authorized official is Jerry William Dippe' .
The authorized official title is Owner and has the following contact phone number (707) 823-6406.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 6/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC10776CALIFORNIANo
2111N00000XChiropractorDC001454LPENNSYLVANIANo
3111N00000XChiropractorDC001351LPENNSYLVANIANo
4111N00000XChiropractorDC10832CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DC0107761MEDICARE PINCALIFORNIA
2ZZZ07277ZMEDICARE PINCALIFORNIA
3DC0108321MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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