Healthcare Provider Details
I. General information
NPI: 1295690899
Provider Name (Legal Business Name): DU CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6020 COMMERCE BLVD STE 128
ROHNERT PARK CA
94928-2179
US
IV. Provider business mailing address
6020 COMMERCE BLVD STE 128
ROHNERT PARK CA
94928-2179
US
V. Phone/Fax
- Phone: 707-584-5678
- Fax: 707-584-7020
- Phone: 707-584-5678
- Fax: 707-584-7020
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALLEN
DU
Title or Position: CEO
Credential: DC
Phone: 707-584-5678