Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 32179 | CA |
N | 111NN1001X | Nutrition | 32179 | CA |
N | 111NP0017X | Pediatric Chiropractor | 32179 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 32179 | CA |
NPI | 1710307624 |
---|---|
Provider Name | Dr. Jill Schneider |
First Address | Albany, CA 94706-2128 |
Second Address | Albany, CA 94706-2128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2014 |
Last Update Date | 17/04/2014 |