Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 35058 | CA |
NPI | 1003486820 |
---|---|
Provider Name | Dr. Jonathan Charles Hooker |
First Address | Danville, CA 94526-1731 |
Second Address | Danville, CA 94526-1731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2021 |
Last Update Date | 25/06/2021 |