Healthcare Provider Details

I. General information

NPI: 1760697742
Provider Name (Legal Business Name): BPU, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 SOLANO AVE
ALBANY CA
94706-1825
US

IV. Provider business mailing address

1301 SOLANO AVE
ALBANY CA
94706-1825
US

V. Phone/Fax

Practice location:
  • Phone: 510-526-6657
  • Fax:
Mailing address:
  • Phone: 510-526-6657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number14314
License Number StateCA

VIII. Authorized Official

Name: DR. LINDA BERRY
Title or Position: OWNER
Credential: DC, CCN
Phone: 510-526-6657