Healthcare Provider Details

I. General information

NPI: 1407909047
Provider Name (Legal Business Name): ALAN JULIAN ESQUIBEL D.C., DABCO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 04/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 PROFESSIONAL DR SUITE B
NAPA CA
94558-6410
US

IV. Provider business mailing address

1010 PROFESSIONAL DR SUITE B
NAPA CA
94558-6410
US

V. Phone/Fax

Practice location:
  • Phone: 707-253-2221
  • Fax: 707-253-2225
Mailing address:
  • Phone: 707-253-2221
  • Fax: 707-253-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number14910
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: