Healthcare Provider Details
I. General information
NPI: 1093966632
Provider Name (Legal Business Name): EMBRACE HEALTH JAMES CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2008
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2400 GREENWICH ST
SAN FRANCISCO CA
94123-3306
US
IV. Provider business mailing address
2400 GREENWICH ST
SAN FRANCISCO CA
94123-3306
US
V. Phone/Fax
- Phone: 415-440-4494
- Fax: 415-440-5575
- Phone: 415-440-4494
- Fax: 415-440-5575
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | DC 28381 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
MAIA
J
JAMES
Title or Position: ONWER
Credential: DC
Phone: 415-440-4494