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NPI Code Detail

MEDICARE: DR. VICKI LYNN JOBE D.C.

MEDICARE:  DR. VICKI LYNN JOBE  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor19855CA
2227900000XRegistered Respiratory Therapist00002332CA

General Provider Information

NPI Number : 1104816495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICKI LYNN JOBE D.C.
Provider Business Mailing Address
First Line : 5655 COLBOURN PL
Second Line :
City : OAKLAND
State : CA
Zip : 94619-3508
Country : US
Telephone Number : 510-268-8775
Fax Number : 510-531-5890
Provider Business Practice Location Address
First Line : 5655 COLBOURN PL
Second Line :
City : OAKLAND
State : CA
Zip : 94619-3508
Country : US
Telephone Number : 510-268-8775
Fax Number : 510-531-5890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 05/22/2013

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Directions to “ DR. VICKI LYNN JOBE D.C.” Practice Location

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