Provider Demographics
NPI:1164410767
Name:ENGLISH, JO (DC)
Entity Type:Individual
Prefix:DR
First Name:JO
Middle Name:
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 OAK GROVE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4333
Mailing Address - Country:US
Mailing Address - Phone:650-327-2626
Mailing Address - Fax:650-327-2627
Practice Address - Street 1:681 OAK GROVE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4333
Practice Address - Country:US
Practice Address - Phone:650-327-2626
Practice Address - Fax:650-327-2627
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0140180Medicare ID - Type Unspecified