Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 15622 | CA |
NPI | 1003048562 |
---|---|
Provider Name | Dr. Janet Collins Berman |
First Address | Thousand Oaks, CA 91362-2822 |
Second Address | Thousand Oaks, CA 91362-2822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2009 |
Last Update Date | 18/08/2009 |