Dr. Michael Tereo
Chiropractic Sports Physician
6287 Jarvis Ave
Newark
, California 94560-1212
Dr. Michael Tereo
Chiropractic Sports Physician
6287 Jarvis Ave
Newark
, California 94560-1212
(510) 795-2845
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Michael Tereo
- 6287 Jarvis Ave
- Newark, CA
- Zip : 94560-1212
- Fax : (510) 795-2845
- Phone : (510) 795-2700
Second Address
- Dr. Michael Tereo
- 6287 Jarvis Ave
- Newark, CA
- Zip : 94560-1212
- Fax : (510) 795-2845
- Phone : (510) 795-2700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | DC18666 | CA |
National Provider Identifier
| NPI | 1114910700 |
|---|---|
| Provider Name | Dr. Michael Tereo |
| First Address | Newark, CA 94560-1212 |
| Second Address | Newark, CA 94560-1212 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2005 |
| Last Update Date | 30/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.