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Dr. Elisha Blackmar Van Deusen IV, DC
Chiropractor in Fountain Valley, California
NPI 1265445837

Elisha Blackmar Van Deusen IV is a Chiropractor based in Fountain Valley, CA. Elisha Blackmar Van Deusen IV practices in Fountain Valley, CA and has the professional credentials of DC. The NPI Number for Elisha Blackmar Van Deusen IV is 1265445837 and holds a License No. DC28866 (California).

The current practice location address for Elisha Blackmar Van Deusen IV is 17220 Newhope St, Fountain Valley, CA and can be reached out via phone at 714-556-6966 and via fax at 714-556-6967.

Location: 17220 Newhope St, Fountain Valley, CA, 92708-4272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265445837
Provider Name
Elisha Blackmar Van Deusen IV
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
17220 Newhope St, Fountain Valley, CA, 92708-4272
Phone Number
714-556-6966
Fax Number
714-556-6967
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17220 Newhope St
City
Fountain Valley
State
California
Zip
92708-4272
Phone Number
714-556-6966
Fax Number
714-556-6967
person
Provider Business Mailing Address Details
Address
17220 Newhope St
City
Fountain Valley
State
California
Zip
92708-4272
Phone Number
714-556-6966
Fax Number
714-556-6967
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC28866 (California)
Definition
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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