Provider Demographics
NPI:1093737298
Name:STRAND, CASEY SR (DC)
Entity Type:Individual
Prefix:MR
First Name:CASEY
Middle Name:
Last Name:STRAND
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 CIVIC DRIVE SUITE 200A
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523
Mailing Address - Country:US
Mailing Address - Phone:925-680-0640
Mailing Address - Fax:925-478-5027
Practice Address - Street 1:380 CIVIC DRIVE SUITE 200A
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523
Practice Address - Country:US
Practice Address - Phone:925-680-0640
Practice Address - Fax:925-478-5027
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29546111N00000X
CA295461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV04721Medicare UPIN
CAZZZ01642ZMedicare ID - Type Unspecified