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Jerry Lee Berneathy, DC
Chiropractor in San Diego, California
NPI 1780870907

Jerry Lee Berneathy is a Chiropractor based in San Diego, CA. Jerry Lee Berneathy practices in San Diego, CA and has the professional credentials of DC. The NPI Number for Jerry Lee Berneathy is 1780870907 and holds a License No. 11853 (California).

The current practice location address for Jerry Lee Berneathy is 1707 Grand Ave, San Diego, CA and can be reached out via phone at 858-273-6700 and via fax at 858-273-6702.

Location: 1707 Grand Ave, San Diego, CA, 92109-4469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780870907
Provider Name
Jerry Lee Berneathy
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1707 Grand Ave, San Diego, CA, 92109-4469
Phone Number
858-273-6700
Fax Number
858-273-6702
Provider Enumeration Date
09/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1707 Grand Ave
City
San Diego
State
California
Zip
92109-4469
Phone Number
858-273-6700
Fax Number
858-273-6702
person
Provider Business Mailing Address Details
Address
1707 Grand Ave
City
San Diego
State
California
Zip
92109-4469
Phone Number
858-273-6700
Fax Number
858-273-6702
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
11853 (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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