Provider Demographics
NPI:1346405222
Name:CLAIRE, DEBORAH (RN, DC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:CLAIRE
Suffix:
Gender:F
Credentials:RN, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 62ND ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1246
Mailing Address - Country:US
Mailing Address - Phone:510-653-1695
Mailing Address - Fax:
Practice Address - Street 1:2101 WOOLSEY ST
Practice Address - Street 2:SUITE A
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1830
Practice Address - Country:US
Practice Address - Phone:510-649-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22059111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor