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Dr. Michael Trent Fillat, DC
Chiropractor in San Diego, California
NPI 1801824404

Michael Trent Fillat is a Chiropractor based in San Diego, CA. Michael Trent Fillat practices in San Diego, CA and has the professional credentials of DC. The NPI Number for Michael Trent Fillat is 1801824404 and holds a License No. CA23248 (California).

The current practice location address for Michael Trent Fillat is 10791 Tierrasanta Blvd, San Diego, CA and can be reached out via phone at 858-573-1104 and via fax at 858-573-0063.

Location: 10791 Tierrasanta Blvd, San Diego, CA, 92124-2611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801824404
Provider Name
Michael Trent Fillat
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
10791 Tierrasanta Blvd, San Diego, CA, 92124-2611
Phone Number
858-573-1104
Fax Number
858-573-0063
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA23248 01 CA STATE LICENSE NUMBER
0232480 01 CA BLUE SHIELD
330755425 01 CA FEDERAL TAX ID
institution
Provider Business Practice Location Address Details
Address
10791 Tierrasanta Blvd
City
San Diego
State
California
Zip
92124-2611
Phone Number
858-573-1104
Fax Number
858-573-0063
person
Provider Business Mailing Address Details
Address
10791 Tierrasanta Blvd
City
San Diego
State
California
Zip
92124-2611
Phone Number
858-573-1104
Fax Number
858-573-0063
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CA23248 (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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