Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 33151 | CA |
NPI | 1154704351 |
---|---|
Provider Name | Dr. John Appleman |
First Address | Walnut Creek, CA 94598-1099 |
Second Address | Walnut Creek, CA 94598-1099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2015 |
Last Update Date | 07/07/2015 |