Provider Demographics
NPI:1093206641
Name:ULBERG HEALING CHOICES & CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:ULBERG HEALING CHOICES & CHIROPRACTIC, INC
Other - Org Name:HEALING CHOICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JERI
Authorized Official - Middle Name:
Authorized Official - Last Name:ULBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-449-2646
Mailing Address - Street 1:901 GREENWICH DR
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-6022
Mailing Address - Country:US
Mailing Address - Phone:805-449-2646
Mailing Address - Fax:
Practice Address - Street 1:901 GREENWICH DR
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-6022
Practice Address - Country:US
Practice Address - Phone:805-449-2646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25942111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty