Provider Demographics
NPI:1245797422
Name:DR. JANELLE CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:DR. JANELLE CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:SHARICE
Authorized Official - Last Name:LERMA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-659-0111
Mailing Address - Street 1:409 TENNANT STA # 207
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-7115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17485 MONTEREY RD STE 307
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-3676
Practice Address - Country:US
Practice Address - Phone:408-659-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty