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Jerry Lee Elliott, DC
Chiropractor in San Leandro, California
NPI 1639383052

Jerry Lee Elliott is a Chiropractor based in San Leandro, CA. Jerry Lee Elliott practices in San Leandro, CA and has the professional credentials of DC. The NPI Number for Jerry Lee Elliott is 1639383052 and holds a License No. 15191 (California).

The current practice location address for Jerry Lee Elliott is 1300 Bancroft Ave, San Leandro, CA and can be reached out via phone at 510-357-9331 and via fax at 510-351-6054.

Location: 1300 Bancroft Ave, San Leandro, CA, 94577-5147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639383052
Provider Name
Jerry Lee Elliott
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1300 Bancroft Ave, San Leandro, CA, 94577-5147
Phone Number
510-357-9331
Fax Number
510-351-6054
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1300 Bancroft Ave
City
San Leandro
State
California
Zip
94577-5147
Phone Number
510-357-9331
Fax Number
510-351-6054
person
Provider Business Mailing Address Details
Address
1300 Bancroft Ave
City
San Leandro
State
California
Zip
94577-5147
Phone Number
510-357-9331
Fax Number
510-351-6054
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
15191 (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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