NPI Code Details Logo

NPI 1578883864

NPI 1578883864 : GINGER A BERT D.C. : YREKA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1578883864
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    GINGER A BERT D.C.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/09/2010
-----------------------------------------------------
    Last Update Date     |    08/14/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    106 RANCH LN STE A 
-----------------------------------------------------
    City                 |    YREKA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    96097
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    530-842-6500
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    106 RANCH LN STE A 
-----------------------------------------------------
    City                 |    YREKA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    96097-3480
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    30949
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.