| Doctor Name: | DR. JEFFREY J. COYLE |
| NPI Number: | 1023103611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C.,F.A.S.B.E. |
| License Number: | DC20945 |
| Business Practice Address: | 1711 Branham Lane A10 San Jose, CA - 95118 |
| Business Phone Number: | 4082646644 |
| Business Fax Number: | 4082643515 |
| Mailing Address: | 591 W. Hamilton Ave. #160, CAMBPELL |
| State: | CA |
| Postal Code: | 950080521 |
| Phone Number: | 4082646644 |
| Fax Number: | 4082643515 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 09/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | DC20945 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |