Provider Demographics
NPI:1356439871
Name:THURBER, JUDITH A (DC)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:A
Last Name:THURBER
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 1:355 W EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2607
Mailing Address - Country:US
Mailing Address - Phone:650-969-6500
Mailing Address - Fax:650-969-7802
Practice Address - Street 1:355 W EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2607
Practice Address - Country:US
Practice Address - Phone:650-969-6500
Practice Address - Fax:650-969-7802
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14784111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0147840Medicare ID - Type Unspecified