Provider Demographics
NPI:1114957883
Name:SEMBRAT, MARK H (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:H
Last Name:SEMBRAT
Suffix:
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 1:417 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3403
Mailing Address - Country:US
Mailing Address - Phone:925-362-9200
Mailing Address - Fax:925-362-8061
Practice Address - Street 1:417 FRONT ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3403
Practice Address - Country:US
Practice Address - Phone:925-362-9200
Practice Address - Fax:925-362-8061
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-27859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor