Jerry Lee Elliott, D.C.

Chiropractor · San Leandro, CA

Individual Active NPI

NPI number 1639383052

Practice location

1300 Bancroft Ave
Suite 104
San Leandro, CA 94577-5147
Phone
(510) 357-9331
Fax
(510) 351-6054

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NPI record

NPI
1639383052
Entity type
Individual (Type 1)
Enumeration date
May 9, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 15191 CA

About Dr. Elliott

Jerry Lee Elliott, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1300 Bancroft Ave, Suite 104, San Leandro, CA 94577-5147. The NPI number 1639383052 was assigned on May 9, 2007 and the record was last updated on July 8, 2007.

Dr. Elliott lists a license in the registry: #15191 (CA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Lee Elliott, D.C.?

The NPI number is 1639383052.

What is the phone number of Dr. Elliott?

The phone number listed for the practice location is (510) 357-9331.

Where is Dr. Elliott located?

1300 Bancroft Ave, Suite 104, San Leandro, CA 94577-5147.

What is the taxonomy code for Dr. Elliott?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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