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NPI Code Detail

MEDICARE: HS LEGACY

MEDICARE: HS LEGACY
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
1111N00000XChiropractor18661CA

General Provider Information

NPI Number : 1275838427
Entity Type Code : Organization
Provider Name (Legal Business Name) : HS LEGACY
Provider Business Mailing Address
First Line : 1836 HAMILTON AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-5631
Country : US
Telephone Number : 408-269-2693
Fax Number : 408-267-9953
Provider Business Practice Location Address
First Line : 1836 HAMILTON AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-5631
Country : US
Telephone Number : 408-269-2693
Fax Number : 408-267-9953
Authorized Official
Title or Position : PRESIDENT
Name : DR. JONATHAN STUDER
Credential : D.C.
Telephone Number : 408-269-2693
Provider Enumeration Date : 01/19/2011
Last Update Date : 01/19/2011

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Directions to “HS LEGACY ” Practice Location

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