Provider Demographics
NPI:1407909047
Name:ESQUIBEL, ALAN JULIAN (DC, DABCO)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JULIAN
Last Name:ESQUIBEL
Suffix:
Gender:M
Credentials:DC, DABCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 PROFESSIONAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6410
Mailing Address - Country:US
Mailing Address - Phone:707-253-2221
Mailing Address - Fax:707-253-2225
Practice Address - Street 1:1010 PROFESSIONAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6410
Practice Address - Country:US
Practice Address - Phone:707-253-2221
Practice Address - Fax:707-253-2225
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14910111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0149100Medicare UPIN