Healthcare Provider Details

I. General information

NPI: 1073197042
Provider Name (Legal Business Name): SOKOLSKI-SPEAR CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 05/06/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 40TH STREET WAY
OAKLAND CA
94611
US

IV. Provider business mailing address

187 40TH STREET WAY
OAKLAND CA
94611
US

V. Phone/Fax

Practice location:
  • Phone: 510-356-7832
  • Fax: 510-350-8552
Mailing address:
  • Phone: 510-356-7832
  • Fax: 510-350-8552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATIE SOKOLSKI-SPEAR
Title or Position: OWNER
Credential: DC
Phone: 510-356-7832