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Dr. Jack E Bergstrom, DC
Chiropractor in Alhambra, California
NPI 1548969702

Jack E Bergstrom is a Chiropractor based in San Dimas, CA. Jack E Bergstrom practices in Alhambra, CA and has the professional credentials of DC. The NPI Number for Jack E Bergstrom is 1548969702 and holds a License No. 36290 (California).

The current practice location address for Jack E Bergstrom is 84 S Palm Ave, Alhambra, CA and can be reached out via phone at 626-280-9968.

Location: 84 S Palm Ave, Alhambra, CA, 91773-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548969702
Provider Name
Jack E Bergstrom
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
84 S Palm Ave, Alhambra, CA, 91773-1003
Phone Number
626-280-9968
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36290 01 CA CALIFORNIA CHIROPRACTIC BOARD
F3317513 01 CA CALIFORNIA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
84 S Palm Ave
City
Alhambra
State
California
Zip
91801-3101
Phone Number
626-280-9968
Fax Number
person
Provider Business Mailing Address Details
Address
84 S Palm Ave
City
Alhambra
State
California
Zip
91801-3101
Phone Number
626-280-9968
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
36290 (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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