Provider Demographics
NPI:1275512147
Name:FILIPPI, JEFFREY KEITH (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:KEITH
Last Name:FILIPPI
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 1:627 MIDDLEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1625
Mailing Address - Country:US
Mailing Address - Phone:650-369-2225
Mailing Address - Fax:650-369-3101
Practice Address - Street 1:627 MIDDLEFIELD RD
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1625
Practice Address - Country:US
Practice Address - Phone:650-369-2225
Practice Address - Fax:650-369-3101
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T05673Medicare UPIN