NPI 1710068127 MR. CHARLES MARK ROLLIS DC SAN JOSE CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Charles Mark Rollis - NPI: 1710068127

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. CHARLES MARK ROLLIS
NPI Number: 1710068127
Entity Type Code: Individual (1)
Gender: M
Credentials: DC
License Number: 11509
Business Practice Address: 225 Washington St
Suite B1 Santa Clara, CA - 950505975
Business Phone Number: 4082464131
Business Fax Number:
Mailing Address: 100 Oconnor Drive, Suite 28
SAN JOSE
State: CA
Postal Code: 951281655
Phone Number: 4082464131
Fax Number: 4089771068
NPI Enumeration Date: 10/18/2006
NPI Last Update Date: 11/07/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 111N00000X
License Number: 11509
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.


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