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NPI Code Detail

MEDICARE: DR. JONATHAN B. SLATER DC

MEDICARE: DR. JONATHAN B. SLATER DC
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
1111N00000XChiropractorDC25405CA
2111N00000XChiropractor8624CA

General Provider Information

NPI Number : 1568437903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN B. SLATER DC
Provider Business Mailing Address
First Line : 90 E TASMAN DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95134-1617
Country : US
Telephone Number : 563-884-5810
Fax Number : 563-884-5470
Provider Business Practice Location Address
First Line : 90 E TASMAN DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95134-1617
Country : US
Telephone Number : 408-944-6100
Fax Number : 408-944-6102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 10/06/2018

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