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NPI Code Detail

MEDICARE: DR. BENJAMIN ZACHARY BRISJAR D.C

MEDICARE:  DR. BENJAMIN ZACHARY BRISJAR  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
1111N00000XChiropractorDC-27428CA
2111N00000XChiropractorDC-906HI
3111N00000XChiropractor006.0073726VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC-906OTHERHICHIROPRACTIC LICENSE
2006.0073726OTHERVTCHIROPRACTIC LICENSE

General Provider Information

NPI Number : 1548250517
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN ZACHARY BRISJAR D.C
Provider Business Mailing Address
First Line : PO BOX 8863
Second Line :
City : PITTSBURG
State : CA
Zip : 94565-8863
Country : US
Telephone Number : 925-237-4444
Fax Number :
Provider Business Practice Location Address
First Line : 3105 RAILROAD AVE
Second Line :
City : PITTSBURG
State : CA
Zip : 94565-5252
Country : US
Telephone Number : 925-237-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 03/14/2020

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Directions to “ DR. BENJAMIN ZACHARY BRISJAR D.C” Practice Location

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