Healthcare Provider Details

I. General information

NPI: 1013130566
Provider Name (Legal Business Name): JAMES PATRICK SLONE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4588 PERALTA BLVD STE 7
FREMONT CA
94536-5757
US

IV. Provider business mailing address

PO BOX 671
FREMONT CA
94537-0671
US

V. Phone/Fax

Practice location:
  • Phone: 510-793-4835
  • Fax: 510-793-6399
Mailing address:
  • Phone: 510-793-4835
  • Fax: 510-793-6399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25511
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: