MEDICARE: MARTINET CHIROPRACTIC INC

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
1	111N00000X	Chiropractor	13352	CA

General Provider Information

NPI Number	:	1962621409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTINET CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	1454 LEIMERT BLVD
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-1806
Country	:	US
Telephone Number	:	510-530-3328
Fax Number	:	510-530-2566

Provider Business Practice Location Address
First Line	:	1454 LEIMERT BLVD
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-1806
Country	:	US
Telephone Number	:	510-530-3328
Fax Number	:	510-530-2566

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEAN-PAUL MARTINET
Credential	:	DC
Telephone Number	:	510-530-3328

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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