Healthcare Provider Details

I. General information

NPI: 1164631503
Provider Name (Legal Business Name): TERESA FIMBY-CHRISTENSEN CHIROPRACTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 A ST. STE. 206
HAYWARD CA
94541
US

IV. Provider business mailing address

1161 CAMINO TASSAJARA
DANVILLE CA
94526
US

V. Phone/Fax

Practice location:
  • Phone: 510-733-6164
  • Fax: 510-733-9654
Mailing address:
  • Phone: 925-743-0783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number20970
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: