Doctor Name: | DR. JACQUELIN CHARLES |
NPI Number: | 1770820458 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 32491 |
Business Practice Address: | 1114 Garden St Apt 4 Santa Barbara, CA - 931011350 |
Business Phone Number: | 3106508435 |
Business Fax Number: | |
Mailing Address: | 928 Garden St, Ste 1 SANTA BARBARA |
State: | CA |
Postal Code: | 931011432 |
Phone Number: | 3106508435 |
Fax Number: | 8059656992 |
NPI Enumeration Date: | 01/14/2013 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 32491 |
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. |